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: Gary DeWitt <br /> Permittee Company: Colorado Department of <br /> Transportation <br /> Address: 3971 W Service Rd <br /> Evans, CO 80620 <br /> Phone Number: (970)350-2379 <br /> Fax Number: (970)330-8513 <br /> Email Address: Gary.dewitt@state.co.us <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 /> Signature of Permittee, Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-04 <br />