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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 />Richard E. Curry <br />Permittee Company: <br />Grand Gravel <br />Address: <br />P.O. Box 566 <br />Hotchkiss, CO 81419 <br />Phone Number: <br />(970) 872-3545 <br />Fax Number: <br />(970) 872-3792 <br />Email Address: <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 PermWporate Officer, Owner, or Documented Designee <br />M -AF -01 <br />l 36 .2 o IS <br />0 Da e <br />