Laserfiche WebLink
Page 5 of 5 <br /> <br />Division records indicate the following permittee contact information. If this information is not current, please type or pr int <br />current contact information: <br /> <br />Permittee Contact: <br /> <br />Stanley Thornburg <br />Permittee Company: <br /> <br />Thornburg Family Limited <br />Partnership <br /> <br />Address: <br /> <br /> <br /> <br />50747 E. 38 Avenue <br /> <br />Bennett, CO 80102 <br /> <br />Phone Number: <br /> <br />(303) 644-3424 <br />Fax Number: <br />Email Address: Jjvandeusen@hotmail.com <br /> <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 /> <br /> <br /> <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br /> <br />M-AF-01