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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: Cody Wooldridge <br /> Permittee Company: Raindance Aquatic Investments, <br /> LLC <br /> Address: 1625 Pelican Lakes Point, Ste. <br /> 201 <br /> Windsor,CO 80550 <br /> Phone Number: (970)686-5828 <br /> Fax Number: (970)686-2768 <br /> Email Address: Cwooldridge@watervalley.com <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 er ittee Cor orate icer Owner,or Documented Documented Designee Date <br /> Loe <br /> M-AF-01 <br />