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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 />BillTenore <br />Permittee Company: <br />T Bone Stone, Inc. <br />Address: <br />2337 Emery St <br />Longmont, CO80501 <br />Phone Number: <br />(303) 324-5023 <br />Fax Number: <br />(303) 776-3839 <br />Email Address: <br />Tbonestoneinc@msn.com <br />I, the undersigned, hereby state that the <br />being conducte cc9 ance with !be <br />-d in this report is true and accurate, and that site operations are <br />mining and reclamation plans. <br />or Documented Designee <br />Date <br />