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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 print <br />current contact information: <br />Permittee Contact: <br />David Curtis <br />Permittee Company: <br />Oaklands Ranch <br />Address: <br />1613 N Perry Park Rd <br />Sedalia, CO 80135-8511 <br />Phone Number: <br />(303) 688-4285 <br />Fax Number: <br />(303) 688-7957 <br />Email Address: <br />Oaklandsranch@netscape.net <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 />Owne or Documented Designee <br />ate <br />