2017-12-27_REPORT - M2011038

• Permit No: M2011038
• IBM Index Class Name: REPORT
• Doc Date: 12/27/2017
• Doc Name: Annual Fee/Report/Map
• From: KW Enterprises
• To: DRMS
• Annual Report Year: 2017
• Email Name: THM
• Media Type: D
• Archive: No

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Page 5 of 5
Division records indicate the following permitteeflandowner contact information(blank fields indicate that we do not have
information on record). If this information is blank or not current,please type or print current contact information:
Permittee Contact: Steven J.Winer
Permittee Company: KW Enterprises LLC
Address: A-- g M v o d as� 9
P.O. Box 2055 � ih �J�� v
Durango,CO 81303
Phone Number: [phone]
Fax Number: [phone]
Email Address: c^
Permitting Contact: Steven J.Winer
Company: KW Enterprises LLC
Address:
PO Box 2055
Durango,CO 81303
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Inspection Contact: Steven J.Winer
Company: KW Enterprises LLC
Address:
PO Box 2055
Durango,CO 81303
Phone Number: [phone]
Fax Number: [phone]
Email Address:
�-J- a o,
I,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
Signature of Permittee, Corporate Officer,Owner,or Documented Designee Date
M-AF-01