Laserfiche WebLink
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 />ThomasF. Latham <br />Permittee Company: <br />Thomas F & Ginger L Latham <br />Address: <br />P.O. Box 66 <br />DeBeque, C081630 <br />Phone Number: <br />(970) 283-5633 <br />Fax Number: <br />Email Address: <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 accordance with the Division approved mining and reclamation plans. <br />V — o is <br />Owner, or Documented Designee hate <br />M -AF -01 <br />