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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: Darren Gebhart <br /> Permittee McAtee Construction <br /> Company: Company <br /> Address: P.O. Box 1908 <br /> Note: Additional information provided on <br /> Sterling, CO 80751 attached page. <br /> Phone Number: (970) 521-0651 <br /> Fax Number: (970) 522-9725 <br /> Email Address: dgebhart@simoncontractors.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 with the Division approved mining and reclamation plans. <br /> Signature of Permittee,Corporate Officer,Owner, or Documented Designee Date <br />