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: Mark Dorenkamp <br /> Permittee Company: Prowers County <br /> Address: 109 E. Sherman St. <br /> Lamar,CO 81052 <br /> Phone Number: (719)336-5536 <br /> Fax Number: (719)336-9633 <br /> Email Address: <br /> Permitting Cpntact: Donald Koehn <br /> Company: \ Prowers County <br /> i <br /> Address: 109 E. Sherman St. <br /> Lamar,CO 81052 <br /> Phone Number: ( 19)336-5536 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Donald Koehn <br /> Company: Prowers County <br /> Address: 109 . S/herman St. <br /> mar,CO 81052 <br /> Phone Number: i (719)336-5536 <br /> Fax Number: <br /> Email Ad <br /> I aWess: <br /> I,the undersigned,hereby state that the information provided in this report is true accurate, and that site operations are <br /> being conducted in accordance With the Division approved.mining and reclamation plans: <br /> Signature of Permittee,Corporate ricer,Owner,or Documented Designee Date <br /> M-AF-04 <br />