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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 />Robert Cogdon <br />Permittee Company: <br />Avalanche Creek Marble & <br />Alabaster LLC <br />Address: <br />1002 Cooper Unit A <br />Glenwood Springs, CO 81601 <br />Phone Number: <br />(970) 274-2513 <br />Fax Number: <br />.6U-74-7-76=20M-- <br />mil,f <br />Email Address: <br />Rockcreek2009@gmail.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 />3 -/-/, <br />Signature of Permittee, Corp i Vii ficer, Owner, or Documented Designee Date <br />M -AF -01 <br />