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1't _ ? lt <br /> Permittee Company_ PalmerFipe&Tons ruemn, <br /> LLC <br /> Address: 381 Ute Junction Circle <br /> Durango, CO 81303 <br /> Phone Number: (970)946-5920 <br /> Fax Number: <br /> Email Address: <br /> Permitting Contact: Naomi Riess <br /> Company: Riess Research and Planning <br /> Address: 1480 E. 2nd Ave. #8 <br /> Durango, CO 81301 <br /> Phone Number: (970)259-6817 <br /> Fax Number: (970)259-6817 <br /> Email Address: <br /> Inspection Contact: Pat Palmer <br /> Company: Palmer Pipe&Construction, <br /> LLC <br /> Address: 381 Ute Junction Circle <br /> Durango, CO 81303 <br /> Phone Number: (970)946-5920 <br /> Fax Number: <br /> Email Address: <br /> I,the unjucted <br /> erVdat <br /> e that the information provided in this report is true and accurate, and that site operations are <br /> being cocce ith the Division approved mining and reclamation plans. <br /> /16 20/7 <br /> Signature of Permtttee, ori)orate Officer,Owner,or Documented Designee ate <br /> M-AF-01 <br />