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: Debbie Shipps <br /> Permittee Company: Shipps Farms L.P. <br /> Address: 17164 WCR 100 <br /> Nunn,CO 80648 <br /> Phone Number: (970)381-4402 <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 /> — Z� da� 9/03?> Oc1gU <br /> Signa a of er ttee Cor orate Officer,Owner,or Documented Designee ITaV <br /> M-AF-04 <br />