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Page 5 of 5 <br /> <br />Division records indicate the following permittee contact information. If this information is not current, please type or pr int <br />current contact information: <br /> <br />Permittee Contact: <br /> <br />Peter Babin <br />Permittee Company: <br /> <br />Calx Minerals, LLC <br />Address: <br /> <br /> <br /> <br />C/o 5501 Lakeshore Drive <br /> <br />Littleton, CO 80123 <br /> <br />Phone Number: <br /> <br />(303) 884-9349 <br />Fax Number: (303) 730-0324 <br />Email Address: Peterbabin@mac.com <br /> <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 /> <br /> <br /> <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br /> <br />M-AF-01