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r , <br /> 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: Billy E.Mack <br /> Permittee Company: Moffat County <br /> Address: P.O.Box 667 <br /> Craig,CO 81626 <br /> Phone Number: (970)824-3211 <br /> FAx Number: (970) 824-0356 <br /> Email Address: <br /> I <br /> beiig conducted in accordance with the Division approved mining and reclamation plans. <br /> ILPS . -..4.4, — ) )`l '1,5-- <br /> Signature oeirmittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-04 <br /> 1 <br /> I <br /> I <br /> I <br /> 1 <br />