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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 />Joseph E. Westhoff <br />Permittee Company: <br />Westhoff Farms <br />Address: <br />2823 CR 3 <br />Wiggins, CO 80654 <br />Phone Number: <br />(970) 483-5561 <br />Fax Number: <br />Email Address: <br />- <br />`. <br />10e- cc, es -t -h o 'Sr- v-rmet ) ) ,civ M <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 />Signa a of Permiftee, corporate Officer, Owner, or Documented Designee <br />M -AF -01 <br />//-11^ <br />Date <br />