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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 />Mr. Russ Larson <br />Permittee Company: <br />Elam Constructions, Inc. dba <br />Sandco, Inc. <br />Address: <br />556 Struthers Ave. <br />Grand Junction, CO 81501 <br />Phone Number. <br />Fax Number. <br />Email Address: <br />I, the undersi ed, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being a uc incordance the Divispproved mining and reclamation plans. <br />t <br />of Permitte Co a e OMS r Owner, or Documented Desinee ate <br />M -AF -01 <br />