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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: David Morlan <br /> Permittee Company: Rio Blanco County <br /> Address: 570 2nd St. <br /> Meeker,CO 81641 <br /> Phone Number: 70 , g 7 e^1 S 9 0 <br /> Fax Number: (970)878-3396 <br /> Email Address: David.morlan@rbc.us <br /> Permitting Contact: 3an3es- -3e)'- <br /> C(I'� <br /> Company: i9cIne.- ✓ <br /> ShWC6 <br /> Address: 5'76 5er a.uc1 S . <br /> P.O. Box4 4 c2 <br /> Meeker,CO 81641 ce-ke-Y.', e 6 S-/ Li <br /> Phone Number: (-We)8"-SN2 <br /> q 7C1 - S'78" - `1 54 v � <br /> Fax Number: 9 76 - T 78-- 3 3 96 <br /> Email Address: C1l of. C11 U Sv <br /> Inspection Contact: .staffley Rasmus,&i" <br /> Cl ',O� <br /> Company: Rio Blanco County <br /> Address: P49:7fl r.-64-- 576 SeCpN S �- <br /> m ee kt--r) C.b E-/L L/ <br /> Phone Number: <br /> 476 - 9r78' - 9590 v <br /> Fax Number: ( - .1 Q , g 7 Y , 3.3 cl'6 <br /> Email Address: <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 /> natu of Permi a or orate Officer,Owner,or Documented Desienee Date <br /> M-AF-04 <br />