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Page 5 or <br />Division recor& indicate the follo«ing ptrmincellandowner 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 />Perntittec ConittctMikt Anderson <br />1 <br />----------- _..�.......... ..... .... <br />_.. <br />_ -..._ _ __._. _ ..a_..—p a_n_ <br />Permittee Company: C � e € <br />_..__. <br />�%CtJOarlT/il- Q�L..SJj�Rtelr , .�.s✓G <br />� ' <br />Cfo Glenn SFrings Holdings, <br />��,, jc/ st'�mlj✓ I zlJr+ c"i� <br />IncL�f•2 <br />, f, , <br />� ����&� o �ur� M9 <br />5005 Lyndon f3 Johnson F+�y <br />41350 <br />Ak t Mll,, 7W 7711 Yt% <br />Dallas. TX 752,14 <br />lone Number . (972) 687-750' <br />_ <br />/ 7/J 7 3(:, .7� x � _...._"......� <br />f. � %%5 <br />, .. <br />1 <br />Far Number (713)985-8980 <br />1 Email Address: <br />j <br />tot ER .._. �',.»7-t! � t'xt✓ . cr, m' <br />" <br />Permitting Contact: Bruce Smith��"""�"�� <br />.�ioIJ/ <br />'loll <br />_4Aeed <br />Ccmpany� Harding Lawson Associates <br />. ATIF4 f <br />iddr= : 743 Horizon Ct., Ste. 334 <br />ss <br />.__.... <br />i`g''� ,�,rtr zcv✓ c.'J'"' k.I� 3�C <br />....... ... .....„ <br />Grand Junction, CO 81506 <br />i Phano Narmber. � (9 t0) 242-4749l7e <br />�y <br />r) Z y2 Ci/70 <br />✓ I <br />1 ax Number (970) 242-5784 <br />x1970) ZY-. - tI Z -70 <br />✓; <br />EI mail Address: <br />J3firtr�T,>,ft_° f✓61'!�t"r/l✓r./i+'l�,t�¢�,�iJ.�oJrJ' <br />!i" <br />Inspection Contact: "� Bruce Smith <br />Harding L.a%4son Associates <br />N�^ <br />Address: ��-�-��743 f-lorizon Ct., Ste. 334 <br />1? v E <br />Grartd !unction, CO 81506 <br />dT RW®rE' <br />✓ <br />(9'70) 242-4749 �;' <br />-~ - - - <br />✓ .. <br />Fax number: (970) 242-5784���/"".....T <br />Cmsil Address: <br />t fir JiTPl+'� <br />r/ <br />1, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in ac dance with the Division approved mining and reclamation plans. <br />Signature of Permittee, Corporate Office , Owner, or Documented Deslanee <br />SI Ar <br />Bale <br />