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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: Mike Drabing <br /> Permittee Company: Sundance Investments LLP <br /> Address: 900 Castleton Rd Suite 115 <br /> Castle Rock,CO 80109 <br /> Phone Number: (303)814-3863 <br /> Fax Number: <br /> Email Address: Mike@rockyard.com <br /> I,the undersigned,hereby state that the i ormation provided in this report is true and accurate,and that site operations are <br /> being conducted i ordance with t ivision approved mining and reclamation plans. <br /> / Xz' <br /> S' ature of Permittee Corigo—raj Officer Owner,or Documented Designee Date <br /> M-AF-01 <br />