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r C 0 LO <br /> Nfting and Safety <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us <br /> PERMIT INFORMATION <br /> Permit Number: C-1981-044 County: Moffat <br /> Mine Name: Williams Fork Mines Operation Type: Underground <br /> Operator: Moffat County Mining, LLC Permit Status: Active <br /> Operator Address: Ownership: Federal <br /> Miranda Kawcak Operator Representative Present: <br /> 29515 Routt County Road#27 <br /> Oak Creek, CO 80467 Miranda Kawcak <br /> Operator Representative Signature: (Field Issuance Only) <br /> This report was issued electronically from the Divisions' Denver Office. <br /> INSPECTION INFORMATION <br /> Inspection Start Date: 25 June 2019 Inspection Type: Coal Partial Inspection <br /> Inspection Start Time: 07:30 a.m. Inspection Reason: Surety Release Requested <br /> Inspection End Date: 25 June 2019 Weather: Clear <br /> Inspection End Time: 01:45 p.m. <br /> Joint Inspection Agency: Joint Inspection Contacts: <br /> None <br /> Post Inspection Agency: Post Inspection Contacts: <br /> None <br /> Inspector(s): Inspector's Signature: Signature Date: <br /> Robin A. Reilley, M.S. GISP <br /> 9 July 2019 <br />