2018-03-06_REPORT - M1993059

• Permit No: M1993059
• IBM Index Class Name: Report
• Doc Date: 3/6/2018
• Doc Name Note: Returned - Inadequate
• Doc Name: Annual Fee/Report/Map
• From: DRMS
• To: George Tempel
• Annual Report Year: 2018
• Email Name: AME
• Email Name: WHE
• 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:
George Tempel
Permittee Company:
Midwestern Farms
Address:
P.O. Box 246
Wiley, CO 81092
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
Permitting Contact:
4ecC-Bauer
'J---)Ik U
Company:
Eastern Colorad Aggregates
Address:
P.O. Box 580
Rye, CO 80169
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
Inspection Contact:
ke e. -Baxter
-Da v (J 16,v
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Company:
Eastern Colorado Aggregates
Address:
P. O. Box 580
Rye, CO 81069
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being uc d in accordance with the Division approved mining and reclamation plans.
G P 7- Z3/ )g
of Permittee, Corporatefficer, owner, or Documented Designee Date