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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: Doug Morris <br /> Permittee Company: Five Rivers Ranch Cattle <br /> Feeding LLC <br /> Address: 2258 US HWY 50 <br /> Lamar, CO 80538—81052 <br /> Phone Number: (719) 829-4841 <br /> Fax Number: <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 /> '0' h 6elyeca( a (3 ( 11, <br /> Signature of PermWitee, Co orate Officer,Owner,or Documen d Designee Date <br /> M-AF-01 <br />