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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 />PeteAkin <br />Permittee Company: <br />R E Monks Construction Co. <br />Address: <br />P.O. Box 25579 <br />Colorado Springs, C080936 <br />Phone Number: <br />(719) 499-1736 <br />00001 906 - 908 y <br />Fax Number: <br />(719) 495-0467 <br />Email Address: <br />Pete.Akin@REMONKS.com <br />rcid iron s'ca.n <br />FI <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 />7 -1s <br />Officer, Owner, or Documented Designee Date <br />M -AF -01 <br />