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 />Melvin Brandstadt <br />Permittee Company: <br />Melvin J. Brandstadt <br />Address: <br />19239 G Road <br />Delta, CO 81416 <br />Phone Number: <br />(970) 874-7283 <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 />Sig,a'ZI tf•-•1"---- <br />nature of Per ee, Corporate Officer, Owner, or Documented Designee Date <br />M -AF -01 <br />