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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 />Pat Palmer <br />Permittee Company: <br />Palmer Pipe & Construction, <br />LLC <br />Address: <br />381 Ute Junction Circle <br />Durango, CO 81303 <br />Phone Number: <br />(970) 946-5920 <br />Fax Number: <br />c� <br />970 .231 7229 / <br />Email Address: <br />.rPP <br />w -p r -2o. ,`L oil <br />by state that the information provided in this report is true and accurate, and that site operations are <br />rdance with the Division approved mining and reclamation plans. <br />orporate Officer, Owner, or Documented Designee Date <br />