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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: ToddBauer <br /> Permittee Company: Elam Construction,Inc. <br /> Address: 556 Struthers Ave <br /> Grand Junction,C0$1501 <br /> Phone Number: (970) 242-5370 <br /> Fax Number. <br /> Email Address: <br /> 1, the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are <br /> being conducted in a ordance with the Divisio pproved mining and reclamation plans. <br /> 0 2 <br /> gligna7 ofPe ttee Cor or a fficer Owner,or Documented Designee Date <br /> M-AMI <br />