Laserfiche WebLink
Page 5 of 5� <br />Division records indicate the following permittee contact information. If this information is not current, please type or print <br />current contact information: <br />Permittee Contact: <br />Dan or Doug Grant <br />Permittee Company: <br />Grant Bros Construction Ltd <br />Address: <br />P.O. Box 1027 <br />Basalt, CO 81621 <br />Phone Number: <br />(970) 927-3201 <br />Fax Number: <br />(970) 927-8386 <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 />beii4g conducted in accordance th the Division approved mining and reclamation plans. <br />O� II <br />C-0 "5 L LG, 9 1S <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Dat <br />M -AF -01 <br />