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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: Joseph D.Freund <br /> Permittee Company: Running Creek Ranch <br /> Address: 15460 E Batavia Dr <br /> Aurora,CO 80011 <br /> Phone Number: (303)341-9310 <br /> Fax Number: (303)360-8332 <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 /> �r/� <br /> 6 <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> v <br /> /M-AF-oi <br />