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Page 5 of 5 <br />civision records indicate the following permittee contact information. If this information is not current, please type or print <br />rrent contact information: <br />1ermittee Contact: <br />Roger August <br />ermittee Company: <br />Mask Ranch, LLC <br />Address: <br />I <br />P.O. Box 5356 <br />Pagosa Springs, CO 81147 <br />hone Number: <br />(970) 946-3074 <br />Fax Number: <br />(970) 264-6438 <br />Email Address: <br />Jaugust@directv.net <br />I, <br />b <br />the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />ing pc ducted in accq$ance with the Division approved mining and reclamation plans. <br />M- <br />-01 <br />re of Permittee or orate Officer, Owner, or Documented Designee <br />D to <br />