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Division records indicate the following permittee/landowner contact information. <br />type or print current contact information: Rule 5.6.1(a, b). <br />r <br />If this information is not current, pl ase <br />Permittee Contact: <br />Rebecca Hicks <br />Permittee Company: <br />Mt. Elbert Mining Co., L.L.C. <br />Address: <br />32460 Invernes Dr. <br />Evergreen, CO 80439 <br />Phone Number: <br />(303) 888-2507 <br />Fax Number: <br />(303) 674-7775 <br />Email Address: <br />Seashellh@msn.com <br />Landowner Contact: <br />Landowner Address: <br />Landowner Phone <br />Number: <br />Landowner Email <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 NOI and reclamation plans. Rule 5.6.1(h). <br />R <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee <br />P -AF -01 <br />41"0icS <br />Date <br />