2018-08-27_REPORT - M1989077

• Permit No: M1989077
• IBM Index Class Name: REPORT
• Doc Date: 8/27/2018
• Doc Name: Returned Annual Fee/Report
• From: DRMS
• To: Colorado Alabaster
• Email Name: JLE
• 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: Stanley C.Jones
Permittee Company: Colorado Alabaster Supply
Address: P O Box 548
Fort Collins,CO 80522-0548
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Permitting Contact: Stanley C.Jones
Company: Colorado Alabaster Supply
Address: P O Box 548
Fort Collins.CO 80522-0548
Phone Number: [phone]
Fax Number: -
Email Address:
Inspection Contact: Stanley C.Jones
Company: Colorado Alabaster Supply
Address: P O Box 548
Fort Collins. CO 80522-0548
Phone Number: [phone]
Fax Number: �:—✓ } ; ,i =
Email Address:
1.the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are
beinar conducted in accordance with the Division approved mining and reclamation plans.
Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date