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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 />John H. Bambei Jr <br />aye, SST , <br />Permittee Company: <br />City & County of Denver, <br />Board of Water Commissioners <br />Address: <br />1600 W. 12th Ave. <br />Mail Code 520 <br />Denver, CO 80204 <br />1600 w5-.51-- ra- ,{}u FN,, tr <br />'J car'y;-n- , Co SSo2oy <br />Phone Number: <br />(303) 628-6669 <br />3°3 — (02-i(— 5 3c1 <br />Fax Number: <br />(303) 628-6851 <br />Email Address: <br />ryael .s+;++a dQh.)«1-sc--kf .0 rd‘ <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 />_ / 1 <br />Signa <br />M -AF -01 <br />'tt. Corporate Officer. Owner, or Documented Designee <br />Date <br />