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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 />James Spung <br />Permittee Company: <br />Bear Ranch LLC <br />Address: <br />26767 County Road 12 <br />Somerset, CO 81434 <br />Phone Number: <br />(970) 929-5336 <br />• <br />Fax Number: <br />(970) 929-5343 <br />Email Address: <br />James.spung@renegadeLLC.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 />Sign <br />M -AF -01 <br />t re <br />Per <br />3/M 16 <br />Cor ' orate Officer, Owner, or Documented Designee Date <br />