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Pagc 4 o1`4 <br /> Division records indicate the following permittee contact information. II-this i111101-111ation is not current, please type or <br /> print current contact information: <br /> Permittee Contact: Christopher L.Varra <br /> Permitice Company: Varra Companies, Inc. <br /> Address: 8 120 Gage St. <br /> Frederick,CO 80516 <br /> Phone Number: (303)666-6657 <br /> Fax Number: <br /> E-mail Address: CF.PlUrnail <br /> 1,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 /> Signature of Permitter, Corporate Officer,Owner,or Documented Designer Date <br /> RECEIVED <br /> MAY 3 0 2014 <br /> Division of ReclamatiOn, <br /> Mining&Salety <br />