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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 />"'un Milli---- <br />Jim Sheridan <br />Permittee Company: <br />Cotter Corporation <br />Address: <br />P.O. Box 700 <br />Nucla, CO 81424 <br />Phone Number: <br />(970) 864-7347 <br />Fax Number: <br />(970) 864-7287 <br />Email Address: <br />Jim.sheridan@cotterusa.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 />Z.-A:AO/ G <br />Signatl7fe/of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />M -AF -02 <br />