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Idaho Springs, CO 80452 <br />Phone Number: <br />Fax Number: <br />Email Address: <br />(775) 385-3638 <br />N/A <br />davidmosch@yahoo.com <br />I, the undersigned, hereby state that the information provided in this report is true and <br />accurate, and that site operations are being conducted in accordance with the Division <br />approved mining and reclamation plans. <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />Date: July 27, 2015 <br />