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: Jon Mueller <br /> Permittee Company: Elam Construction, Inc. <br /> Address: 556 Struthers Avenue <br /> Grand Junction, CO 81501- <br /> 3826 <br /> Phone Number: (970)242-5370 <br /> Fax Number: <br /> Email Address: Dnr_drmsminadmin@state.co.us <br /> b n. M L.,F(te;��'' ,�/` c-,-C c curt rl(PS c,,,'.� <br /> Permitting Contact: Russell Larsen <br /> Company: Elam Construction, Inc. <br /> Address: 556 Struthers Avenue <br /> Grand Junction, CO 81501- <br /> 3826 <br /> Phone Number: (970)242-5370 <br /> Fax Number: <br /> Email Address: Dnr—drtnsminadmin@state.co.us <br /> Inspection Contact: Jon Mueller <br /> Company: Elam Construction, Inc. <br /> Address: 556 Struthers AVenut <br /> Grand Junction, CO 81501- <br /> 3826 <br /> Phone Number: (970)242-5370 <br /> Fax Number: <br /> Email Address: Dnr—drtnsminadmin@state.co.us <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are <br /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> DY Z 01.E D17 <br /> Signature o0ermitteeCoriplorate Officer,Owner,or Documented Designee Date <br /> M-AF-04 <br />