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2015-09-09_REPORT - M1977485
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2015-09-09_REPORT - M1977485
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Entry Properties
Last modified
8/24/2016 6:10:37 PM
Creation date
9/10/2015 11:38:09 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977485
IBM Index Class Name
REPORT
Doc Date
9/9/2015
Doc Name
Annual Fee, Report & Map
From
Baca County
To
DRMS
Email Name
AME
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 />DeanOrmiston <br />Permittee Company: <br />Baca County <br />Address: <br />741 Main St.,Suite 1 <br />Springfield, CO81073 <br />Phone Number: <br />(719) 523-6532 <br />Fax Number: <br />(719) 523-6584 <br />Email Address: <br />Dormiston@bacacountyco.gov <br />I, the undersi ed, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being coaucted in accordanq6'w'—A the Division approved mining and reclamation plans. <br />or Documented Designee Date <br />M -AF -04 <br />
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