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 />Michael S. Davis <br />Permittee Company: <br />Dolores County <br />Address: <br />P.O. Box 608 <br />Dove Creek, CO 81324 <br />Phone Number: <br />(970) 677-2328 <br />Fax Number: <br />(970) 677-3759 <br />Email Address: <br />d Lf 0 4.414 <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 />,,t$,ti�S O. -- <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee <br />M -AF -04 <br />Da e <br />