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2017-01-04_REPORT - M2006021
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2017-01-04_REPORT - M2006021
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Entry Properties
Last modified
12/13/2020 3:48:33 AM
Creation date
1/5/2017 9:16:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2006021
IBM Index Class Name
REPORT
Doc Date
1/4/2017
Doc Name
Annual Fee/Report/Map
From
Glade, LLC
To
DRMS
Annual Report Year
2017
Email Name
ECS
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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A Page 5 of 5 <br /> Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have <br /> information on record). If this information is blank or not current,please type or print current contact information: <br /> Permittee Contact: Michael Bekkedahl <br /> Permittee Company: Glade, LLC <br /> Address: 1400 N Shields St <br /> Fort Collins,CO 80524 <br /> Phone Number: (970)218-0282 <br /> Fax Number: <br /> Email Address: Michael@bekkedahl.net <br /> Permitting Contact: Bob Gowing <br /> Company: QED Associates <br /> Address: 204 Walnut Suite C <br /> Fort Collins, CO 80524 <br /> Phone Number: (970)416-0600 <br /> Fax Number: (970)416-0601 <br /> Email Address: <br /> Inspection Contact: Michael Bekkadahl <br /> Company: Glade, LLC <br /> Address: 1400 N Shields St <br /> Fort Collins, CO 80524 <br /> Phone Number: (970)218-0282 <br /> Fax Number: <br /> Email Address: Micheal@bekkedahl.net <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 /> C6 <br /> Signature of Per tte Cor orate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />
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