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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: Craig J.Walker <br /> Permittee Company: Craig J.Walker Revocable Trust <br /> Address: 420 E. 58th Ave., Ste.200 <br /> Denver,CO 80216 <br /> Phone Number: (303)292-5537 <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 /> �\--)\ 4�1� D-6- Zolty <br /> Signature of PermitA drporate Officer, ner,or Documented Designee Date <br /> M-AF-01 <br />