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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: James A.Davis <br /> Permittee Company: LaPlata County <br /> Address: <br /> Durango,CO 81301 <br /> Phone Number: (970)382-6363 <br /> Fax Number: (970)375-7986 <br /> Email Address: Jim.davis@co.laplata.co.us <br /> I,the undersi that the information provided in this report is true and accurate,and that site operations are <br /> being c ucted in accordance w the Division approved mining and reclamation plans. <br /> /I CA-0-C4 /) /a-, q --7A IL <br /> ignature of PeENWee,Corporate Office ,Owner,or Documented Designee a <br /> M-AF-04 <br />