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: Ren W—in-Cklm— e v e- i i 4 g <br /> Pennittee Company: Montrose County <br /> Address: 949 N. 2nd Street <br /> Montrose, CO 81401 <br /> Phone Number: ( �j'7 U' 2 y 67' 6W <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 conducte in accordance with the ivis' n approved mining and reclamation plans. <br /> Signa a rm tee, Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-04 <br />