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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 />Emery L. Olin <br />Permittee Company: <br />Bridal Veil Construction, LLC <br />Address: <br />19100 Highway 550 <br />Ridgway, CO 81432 <br />Phone Number: <br />(970) 626-4234 <br />Fax Number: <br />Email Address: <br />C 0 n 61 e <br />,r, <br />(3' ylthpe) • <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 />Signat a of Permittee, Corporate Officer,&5"-wne j/or Documented Designee <br />M -AF -01 <br />/0 —c2/-1.5.- <br />Date <br />c / )5Date <br />