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aaweoeli. 'his snieaislilsa<ereetasa t j aaom*ani :. <br /> �ins�dllse'Us�ne� .1111011111101 <br /> • <br /> "Pernitttectompany <br /> ft <br /> 111111PUINIIII <br /> Address: 1310 S. Blake St., <br /> Wray, CO 80758 <br /> Phone Number: (970)332-5718 <br /> Fax Number: (970)332-3429 <br /> Email Address: Yumacountyrb@gmail.com <br /> Permitting Contact: Howard McGinnis <br /> Company: Yuma County <br /> Address: 1310 South Blake Street <br /> Wray, CO 80758 <br /> Phone Number: (970)332-5718 <br /> Fax Number: (970)332-3429 <br /> Email Address: <br /> Inspection Contact: Howard McGinnis <br /> Company: Yuma County <br /> Address: 1310 South Blake Street <br /> Wray, CO 80758 <br /> Phone Number: (970)332-5718 <br /> Fax Number: (970)332-3429 <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 /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-04 <br />