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r <br />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 />David S. Zehner <br />Permittee Company: <br />Precision Excavating, Inc. <br />Address: <br />P.O. Box 790 <br />Hayden, CO 81639 <br />Phone Number: <br />(970) 276-3359 <br />Fax Number: <br />(970) 276-3084 <br />Email Address: <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 />Oa, <br />/a /y// <br />Signature of Permittee, Cor ate Officer, Owner, or Documented Designee Date <br />M -AF -01 <br />