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Page 4 of 4 <br />Fax Number: <br />(970) 824 -3106 <br />970 - 824 -9410 <br />Email Address: <br />bowrbros @mindspring.com <br />bowrbros @mindspring.com <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 />Bud bower (Richard E Bower II ) 10/22/14 <br />Signature of Permittee. Corporate Officer, Owner, or Documented Designee Date <br />