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Page 5 of 5 <br /> .i records indicate the following permittee contact information. If this information is not current,please type or print <br /> ,t contact information: <br /> mittee Contact: John DeWitt <br /> .'ermittee Company: Lincoln County <br /> Address: P.O. Box 39 <br /> Hugo,CO 80821 <br /> Phone Number: (719)743-2337 <br /> Fax Number: (719)743-2815 <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 /> Signature of Ormittee Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-04 <br />