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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: Warren O.Wilcox <br /> Permittee Company: Gunnison Aggregate Resources, <br /> LLC <br /> Address: P.O.Box 42 <br /> Gunnison, CO 81230 <br /> Phone Number: (970)641-3088 <br /> Fax Number: (970)641-5811 <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 ducted i cc with the Division approved mining and reclamation plans. <br /> 4,v I/ <br /> — /0� <br /> Si kfure of Per itte ,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />