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• <br /> • <br /> 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: Bob Basher <br /> Permittee Company: Delta County <br /> Address: 501 Palmer St Ste 227 <br /> Delta, CO 81416 <br /> Phone Number: (970)874-5914 <br /> Fax Number: (970)874-2455 <br /> Email Address: Bbasher@deltacounty.com <br /> Permitting Contact: T^' ea ` <br /> , iCtIAQU EW/i /t. V y ✓ <br /> Company: Delta County <br /> Address: 501 Palmer St Ste 227 <br /> Delta, CO 81416 <br /> Phone Number: 2108 <br /> {� } 4 170-2.3"/- /Y77 r/ <br /> Fax Number: <br /> Email Address: //wv6r6 c4: 7-4Cc,•a",Ty, Co pi, I/ <br /> Inspection Contact: <br /> //4 /2Y /�E c o/1r/ v <br /> Company: Delta County <br /> Address: 501 Palmer St Ste 227 <br /> Delta, CO 81416 <br /> Phone Number: (-976)-874-2168 g70-871/-,a1.33 <br /> Fax Number: 470-87L1-0.2q6 <br /> Email Address: Lk?cogD / <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 /> /0/3/10/7 <br /> Signature of Permittee,Corporate Officer,Owner,or{Documented Designee Date <br /> M-AF-04 <br />