2021-05-27_REVISION - M1977410

• Permit No: M1977410
• IBM Index Class Name: REVISION
• Doc Date: 5/27/2021
• Doc Name: Completeness Response
• From: Grand Island Resources
• To: DRMS
• Type & Sequence: AM2
• Email Name: AME
• Email Name: MAC
• Media Type: D
• Archive: No

-2-
9. Correspondence Information:
APPLICANT/OPERATOR (name, address,and phone of name to be used on permit):
Contact's Name: Alfred F. Gerriets II Title: CEO
Company Name: Grand Island Resources, LLC
Street: 65 Arikaree Cir. P.O.Box: 3395
City: Nederland
State: CO Zip Code: 80466
Telephone Number: (212 920-1941
Fax Number: -
PERMITTING CONTACT (if different from applicantloperator above):
Contact's Name: Richard Mittaseh Title: VP of Operations
Company Name: Grand Island Resources, LLC
Street: 34 Mitchell Ave P.O.Box:
City: Plainview
State: NY Zip Code: 11803
Telephone Number: 582-0833
P'ax Number: 1 -
iNSPECTION CONTACT:
Contact's Name: Daniel V. Pollock Title: Director of Regulatlons and Permltting
Company Name: Grand Island Resources, LLC
Street: 300 Spruce Way P.O,Box: 0441
City: Nederland
State: CO Zip Code: 80466
Telephone Number: 720 _ 207-5154
Fax Number: ( l -
CC: STATE OR FEDERAL LANDOWNER(if any):
Agency
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER(if any):
Agency:
Street:
city'.
State: Zip Code.
Telephone Number: ( )