Laserfiche WebLink
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: Kelly Moore <br /> Permittee Company: Elbert County <br /> Address: P.O. Box 116 <br /> Kiowa, CO 80117 <br /> Phone Number: (303)621-3157 <br /> Fax Number: (303)621-3159 <br /> Email Address: <br /> Permitting Contact: -&@l <br /> ir45 <br /> Company: Elbert County <br /> Address: 809 Ute Ave. <br /> Simla, CO 80835 <br /> Phone Number: (719)541-2268 <br /> Fax Number: (303)621-3166 <br /> Email Address: <br /> Inspection Contact: �edtly-Bek- <br /> dNYAM „vS <br /> Company: Elbert County <br /> Address: 809 Ute Ave. <br /> Simla, CO 80835 <br /> Phone Number: (720)951-6486 <br /> Fax Number: <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 /> .J- l/-zo- 1 7 <br /> Sign ture of Permittee,Corporate Officer,Owner,or Doc ented Designee Date <br /> M-AF-04 <br />