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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: James Cooley <br /> Permittee Company: J and K Limestone Products, <br /> LLC <br /> Address: 4469 N CR 108 <br /> Mosca,CO 81146 <br /> Phone Number: (719)378-2352 <br /> Fax Number: r7 ! ? 37 g''. A S 30 <br /> Email Address: UVO aAd 96fis @ 2 MW I)•61 Ail <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 /> — /,.& / a /6 <br /> ! njae of Permitter, Corporat fficer,Owner,or Documented Designee Date <br />