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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 />Mike T. and Mardi F.Anson <br />Permittee Company: <br />Moffat Limestone Company <br />Address: <br />P.O. Box 363 <br />Craig, CO81626 <br />Phone Number: <br />(970) 629-2057 <br />Fax Number: <br />(970) 629-3000 <br />Email Address: <br />Moffatlimestone@yahoo.com <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 />Signature <br />M -AF -01 <br />Owner, or Documented Desiznee <br />—15 <br />Date <br />