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o. <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: <br /> Permitting Contact: .Pti iEt) c144,. /)E WA;fv <br /> / y5,#4$.46o Y f� <br /> Company: Delta County <br /> Address: 501 Palmer St Ste 227 <br /> Delta, CO 81416 <br /> Phone Number: 9 70-23q-/i7,77 <br /> Fax Number: <br /> Email Address: // <br /> /F/t4 Wil/�vyrL y a-06L7,4eoaitiry.Cc9.-1-7 t/ <br /> Inspection Contact: 44)1444-liguhteza 4y CoA•B <br /> Company: Delta County <br /> Address: 501 Palmer St Ste 227 <br /> Delta, CO 81416 <br /> Phone Number: (979)874 2108 <br /> J70-82 v—4/33 � <br /> Fax Number: g7fJ - 7q_o.&` 6. V <br /> Email Address: <br /> Z 2 04.9 ed641-4 C'o miTy, C cp.r1 <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/..20/7 <br /> Signature of Permittee, Corporate Officer,Owner,oro umented Designe) Date <br /> M-AF-04 <br />