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1000LORADO <br />—d <br />Division of Reclamation, <br />Mining and Safety <br />Department of Natural Resources <br />PERMIT INFORMATION <br />Permit Number: C-1981-044 <br />County: Moffat <br />Mine Name: Williams Fork Mines <br />Operation Type: Underground <br />Operator: Moffat County Mining, LLC <br />Permit Status: Active <br />Operator Address: <br />Ownership: Private <br />Mrs Miranda Kawcak <br />Operator Representative Present: <br />29515 Routt County Road #27 <br />Oak Creek, CO 80467 <br />No, as this was an aerial inspection. <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: 30 July 2021 <br />Inspection Type: Aerial Inspection <br />Inspection Start Time: 10:11 <br />Inspection Reason: Normal I&E Program <br />Inspection End Date: 30 July 2021 <br />Weather: Clear <br />Inspection End Time: 10:11 <br />Joint Inspection Agency: <br />Joint Inspection Contacts: <br />None <br />Post Inspection Agency: <br />Post Inspection Contacts: <br />None <br />Inspector(s): <br />Inspector's Signature: Signature Date: <br />Robin Reilley, GISP <br />Brock Bowles <br />2 August 2021 <br />1313 Sherman St. Room 215 <br />Denver, CO 80203 <br />(303) 866-3567 <br />