Laserfiche WebLink
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: Raymond C. Petersen <br /> Permittee Company: Raymond C. Petersen <br /> Ca/0 ra do eveir (Z4 4 61r4 <br /> Address: P.O. Box 832 <br /> Kremmling,CO 80459 <br /> Phone Number: (970)724-9327 <br /> Fax Number: (970)724-9327 <br /> Email Address: Voriverranch@gmail.com <br /> CoveVer re,nc� Meti .floc <br /> Permitting Contact: Raymond C.Petersen <br /> Company: Raymond C. Petersen <br /> Address: P.O. Box 832 <br /> 36554 U.S. Hwy 40 <br /> Kremmling, CO 80459 <br /> Phone Number: (970)724-9327 <br /> Fax Number: (970)724-9327 <br /> Email Address: oriverranch@gmail.com <br /> CoYri ver ra no- rw, <br /> Inspection Contact: Raymond C.Petersen <br /> Company: Raymond C.Petersen <br /> Address: P.O. Box 832 <br /> 36554 U.S. Hwy 40 <br /> Kremmling, CO 80459 <br /> Phone Number: (970)724-9327 <br /> Fax Number: (970)724-9327 <br /> Email Address: oriverranch@gmail.com cor*lyerraw( <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> bei d in accordance with t ivi ion approved mining and reclamation plans. <br /> ;L/?4 7 <br /> Signatq a of Permittee Cor or a Officer.Owner,or Documented Desi¢nee Date <br /> M-AF-0 <br />