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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: Peter Babin <br /> Permittee Company: Calx Minerals, LLC <br /> Address: C/o 5501 Lakeshore Drive <br /> Littleton,CO 80123 <br /> Phone Number: (303) 884-9349 <br /> Fax Number: (303) 730-0324 <br /> Email Address: Peterbabin@mac.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 cond n accordance with the Division approved mining and reclamation plans. <br /> gnature of Permittee, Corporate Officer, Owner,or Documented Designee ate <br /> M-AF-b 1 <br />