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Page 6 of 6 <br />Division records indicate the following permittee/landowner contact information. If this information is not current, please <br />type or print current contact information: Rule 5.6.1(a, b). <br />Permittee Contact: <br />Mickey E. Fouts <br />Permittee Company: <br />COAG Corporation <br />Address: <br />200 South Wilcox Street <br />P.O. Box 402 <br />Castle Rock, CO 80104 <br />Phone Number: <br />(303) 814-8251 <br />Fax Number: <br />Email Address: <br />Landowner Contact: <br />r, <br />Landowner Address: <br />Landowner Phone <br />Number: <br />Landowner Email <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 NOI and reclamation plans. Rule 5.6.1(h). <br />/,-1/__,../ <br />Corporate Officer, Owner, or <br />--/a--/5- <br />Documen <br />ted Sig Lure of Designee Date <br />P -AF -01 <br />