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Page 5 of 5 <br />Division recon indicate the following permittee contact infornwtion. If this information is not current, please hype or <br />print OMW contact information: " <br />Permittee Contact: <br />Todd Bauer <br />Permittee Company: <br />Blain Construction. Inc. <br />Address: <br />556 Strutheas Ave <br />Grand Junction, CO 81501 <br />Pbone Numbea: .: <br />(970) 242.5370 <br />(974) 245-7716 <br />�F+axN��uma.be <br />FF -j-='71 Address: <br />i nJ�,t1A►Ji' �ri:{� {J� ( Ar !n"'^ -�� •Chi <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being con4We d in accordance with the Division approved mining and reclamation plans. <br />o€Permittee. Cefraorate exr, Uwner. or <br />".o, <br />0_1F_g1 I _.- <br />Ewe <br />