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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:-Steplleu-A—CineFefsliie <br />-3- ari2d...P. Rhea <br />Permittee Company: <br />American Gypsum Company <br />LLC <br />Address: <br />740 Hwy 6 <br />PO Box 980 <br />Gypsum, CO 81637 <br />Phone Number: <br />(Cr -4-0) S'2 — �' � `f <br />/ <br />(97(+)- 524-8121 <br />Fax Number: <br />(970) 524-8140 <br />Email Address: <br />: ara. rhg <br />ea eam.cicoh "out...,, corn <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 P ittee, <br />M -AF -01 <br />orporate Officer, Owner, or Documented Designee <br />Dat <br />