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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 />James Cecil <br />Permittee Company: <br />James Cecil <br />Address: <br />8500 County Road AAA <br />Cope, CO 80812-9509 <br />Phone Number: <br />(970) 370-4303 <br />Fax Number: <br />Email Address: <br />Cecilj@plainstel.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 wiff)the Divi ion approved mining and reclamation plans. <br />Sign: ' -e oermittee, Corporate Officer, Owner, or Documented Designee Date <br /># //-fr <br />