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: Scott Pelino <br /> Permittee Company: Pelino, Inc. <br /> ---------- <br /> Address: P.O. Box 5049 <br /> 33551 County Road 361 � boo Z � <br /> Buena Vista,CO 81211 <br /> Phone Number: (719)395-2093 <br /> Fax Number: (719)395-6225 <br /> Email Address: Pelinoexcavation@yahoo.com <br /> 1,the un e signed,h re ate t the information provided in this report is true and accurate,and that site operations are <br /> being co ucted in cc rda e wi 1 the Division approved mining and reclamation plans. <br /> i <br /> gna ure of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-Ar-01 <br />