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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 />Alan Parkerson <br />Permittee Company: <br />Parkerson Construction, Inc. <br />Address: <br />710 S. 15th St <br />Grand Junction, CO 81501 <br />Phone Number: <br />(970) 242-8134 <br />Fax Number: <br />(970) 242-8977 <br />Email Address: <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 ith the Division approved mining and reclamation plans. <br />Vz <br />%L 1.-?-e--'71.- <br />Signature <br />:'277_ <br />Signature of Permit ee, Corporate Officer, Owner, or Documented Designee <br />M -AF -01 <br />%U2z7$ <br />ate <br />