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 />William K. Goode <br />s------9 li <br />Permittee Company: <br />Mesa Sandstone, LLC <br />Address: <br />P.O. Box 220 <br />Cortez, CO 81321 <br />-------/ <br />Phone Number: <br />(970) 565-1167 <br />Fax Number: <br />(970) 565-1167 <br />Email Address: <br />iilliam_kay_7@msn.com <br />w <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 'n accordance with the Division approved mining and reclamation plans. <br />in LeC <br />Signature of erJittee, I(rporate Officer, Owner, or Documented Designee Date <br />M -AF -01 <br />