2018-02-06_REPORT - M1988052

• Permit No: M1988052
• IBM Index Class Name: Report
• Doc Date: 2/6/2018
• Doc Name: Annual Fee/Report/Map
• From: Estate of Rick L. Hunt
• To: DRMS
• Annual Report Year: 2017
• Email Name: PSH
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee.'landowner 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:
Jennifer Sherman
Permittee Company:
Estate of Rick L Hunt
Address:
C/o Mid First Bank
101 Cook Street
Denver, CO 80206
Phone Number:
4A&)-6 48'T48�
0
303 31 Ca 31 8 2
Fax Number:
[phone]
303 0
Email Address:
[e-mail]
Permitting Contact:
Jennifer Sherman
Company:
Estate of Rick L Hunt
Address:
C/o Mid First Bank
101 Cook Street
Denver, CO 80107
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
Inspection Contact:
Jennifer Sherman
Company:
Estate of Rick L Hunt
Address:
C/o Mid First Bank
101 Cook Street
Denver, CO 80206
Phone Number:
[phone]
30 3 3,(a 3$ 8 2 -
Fax
Fax Number:
[phone]
3 U 3 —I to 3 $ 30
Email Address:
[e-mail]
1, 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 pians.
re of
U AF 1
ger, Owner, or Documented Designee
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