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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 />NeilThomson <br />Permittee Company: <br />E-470 Public Highway Authority <br />Address: <br />22470 E. 6th Parkway <br />Aurora, C080018 <br />Phone Number: <br />(303) 537-3712 <br />Fax Number: <br />(303) 537-3472 <br />Email Address: <br />Nthomson@e-470.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 />2C -i s <br />Signature ofPermittee, Cor- orate Officer, Owner, or Documented Designee Date <br />M -AF -01 <br />