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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: Anthony A.Blasi <br /> Permittee Company: Diamond B Enterprises,LLC <br /> Address: 38043 CR 32.4 <br /> Trinidad, CO 81082 <br /> Phone Number: (719) 557-9014 <br /> Fax Number: <br /> Email Address: Aablasite@aol.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 /> • <br /> 6/1,MCICi &( A/-l q-/L,o <br /> Signature of Permitt Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />