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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 />Ron Trujillo <br />Permittee Company: <br />Continental Divide Ranch, LLC <br />Address: <br />7010 S. Steele St. <br />Centennial, CO 80122 <br />Phone Number: <br />(970) 749-6698 <br />Fax Number: <br />Email Address: <br />Ron@durangoalpinerealty.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 of <br />M -AF -01 <br />Owner, or Documented Designee <br />Date <br />