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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: Jim Davis <br /> Permittee Company: La Plata County <br /> Address: 1060 Main Ave.,Unit 104 <br /> Durango,CO 81301 <br /> Phone Number: (970)382-6372 <br /> Fax Number: (970)375-7986 <br /> Email Address: <br /> Permitting Contact: Ed-Bennett— <br /> 1 rn Ut <br /> Company: La Plata County <br /> Address: 26616 Highway 160 South <br /> Durango, CO 81301 <br /> Phone Number: <br /> D .3 2 --6363 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: <br /> !S <br /> Company: La Plata County <br /> Address: 26616 Highway 160 South <br /> Durango, CO 81301 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: _ <br /> lm. F1rJ <br /> 1,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being conduct ith the Division approved mining and reclamation plans. <br /> ' t <br /> Signature of ittee Corporate Office ,Owner, r Documented Designee D to <br /> M-AF-04 <br />