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Page 5 of 5 <br /> Permittee Contact: Christopher L.Varra <br /> Permittee Company: Varra Companies,Inc. <br /> Address: 8120 Gage St. <br /> Frederick, CO 80516 <br /> Phone Number: (303)666-6657 <br /> Fax Number: <br /> Email Address: CF.PR.email <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 /> 3!-! <br /> SignatFe of Permittee, Corporate Officer,Owner,or Documented Designee Date <br />