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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: <br />I, <br />Gregory E. Gulley <br />Ria( -1 5-1-; --- ) <br />Permittee Company: <br />City & County of Denver, Board <br />of Water Commissioners <br />C i i -y g, Co 4 4 -1 o g bevi, 16(:::Q.,./-1 o C <br />wa46., COvvltAniSSI o'v \efrs <br />Address: <br />1600 W. 12th Ave.+� <br />Mail Code 500 <br />Denver, CO 80204 <br />k coo o W • 12 f c, <br />��\ Co �k3 <br />bevuev-1 Co vo1D4 <br />Phone Number: <br />(303) 628-6309 <br />(30 3) (c>2173 - 65.39 <br />Fax Number: <br />(303) 628-6851 <br />( 303) (02`2)- (o& 2 <br />Email Address: <br />Greg.gulley@denverwater.org <br />� <br />v-y0.,n .S }-k-ig. Aevxo-e, ..0 0A -v- • 6.,--- <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 />Sign to <br />M -AF -04 <br />e b P rmi tee Cor s orate Officer Owner, or Documented Designee <br />22 Zv tP <br />ate <br />