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Page 5 of 5 <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />RodneyE. Due <br />Permittee Company: <br />Town of Crested Butte <br />Address: <br />507 Marroon Ave. <br />P.O. Box 39 <br />Crested Butte, CO81224 <br />Phone Number: <br />(970) 349-5338 <br />Fax Number: <br />(970) 349-6626 <br />Email Address: <br />I, the undersignedstate that the information provided in this report is true and accurate, and that site operations are <br />being conducted ' acc dance with the Division approved mining and reclamation plans. <br />Signature ofPermitt 9Corporate Officer, Owner, or Documented Designee <br />M -AF -04 <br />Date <br />1a2o / S <br />