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s. <br /> 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: Jake Wilkinson <br /> Permittee Company: Dunraven Mining,LLC <br /> Address: 502 S. Wisconsin Street <br /> Gunnison, CO 81230 <br /> Phone Number: (970)417-3311 <br /> Fax Number: <br /> Email Address: (1/4) t Lk S oItt U. ( , LG /vi v <br /> Landowner Contact: <br /> MM 1 ?Pkk <br /> Landowner Address: <br /> Landowner Phone (� <br /> Number: IC:: — \'/ -- 1 D ( <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 co duct n cc rlance with the Division approved NOI and reclamation plans. Rule 5.6.1(h). <br /> ( Z - IS - iS <br /> Signature of Permittee, rpora a er,Owner,or Documented Designee Date <br /> P-AF-0 1 <br />