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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: James A.Davis <br /> Permittee Company: LaPlata County <br /> Address: 1060 Main Avenue <br /> Suite 104 <br /> Durango,CO 81301 <br /> Phone Number: (970)382-6363 <br /> Fax Number: (970)375-7986 <br /> Email Address: Jim.davis@co.laplata.co.us <br /> Permitting Contact: C� <br /> v <br /> Company: La Plata County <br /> 1 <br /> Address: 26616 Highway 160 South <br /> Durango,CO 81301 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: <br /> Hyl Dnoi--z' <br /> Company: La Plata County <br /> Address: 26616 Highway 160 South <br /> Durango,CO 81301 <br /> Phone Number: - ✓ <br /> 70 ED`Z <br /> Fax Number: <br /> Email Address: <br /> I,the un signed,hereby state that the i ation provided in this report is true and accurate,and that site operations are <br /> bein nducted in accordance with the ivision proved mining and reclamation plans. <br /> c � ` lbav-sSi ature of Permittee r orate Officer,Owner,or Docume ted Destit? i ee D <br /> M-AF-04 <br /> t <br />