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2015-07-21_REPORT - M1986061
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2015-07-21_REPORT - M1986061
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Entry Properties
Last modified
8/24/2016 6:09:17 PM
Creation date
7/22/2015 11:02:39 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1986061
IBM Index Class Name
REPORT
Doc Date
7/21/2015
Doc Name
Annual Fee, Report & Map
From
Oldcastle SW Group
To
DRMS
Email Name
LJW
Media Type
D
Archive
No
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Page 5 of 5 <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />MattR. Carnahan <br />Permittee Company: <br />Oldcastle SW Group, Inc. dba <br />Four Corners Materials <br />Address: <br />P.O. Box 1969 <br />Bayfield, CO81122-1969 <br />Phone Number: <br />(970) 247-2172 <br />Fax Number: <br />(970) 259-3631 <br />Email Address: <br />a r� a �l2✓1 ¢C_ov-p► e✓5 n'1 , 4-etiiaIS . Lo <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in,*ccordance with the Division approved mining and reclamation plans. <br />Signature ofPernhitiee, Corporate Officer, Owner, or Documented Designee <br />M -AF -01 <br />-7/10/'2-0 11 - <br />Date <br />
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