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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: Scott A. Butters Chapter , I rmtce. Duane I I. (Ullman. I s(.1. <br /> Permittee Company: Camp Bird Colorado, Inc. ('anup Rini ('oloradio. lite. <br /> Address: P.O. Box 806 u n Durham Joctt> <br /> 1 II fast Ilroack\ a\. `st.=. 9)(0 <br /> Salt Lake City, UT 84110 P.O. Bo'; I0:so <br /> halt l a'..c ('its. L I S1110-1050 <br /> Phone Number: (801)355-7260 t8()I i.II5-30(0 <br /> Fax Number: (801) 521-6400 ISO] ) 115-3500 <br /> Email Address: .cutin <br /> I,the undersigned, hereby sta t .t the information provided in this report is true and accurate, and that site operations are <br /> being conducted in accord e // the Division approved minin_ and reclamation plans. <br /> 4424g 1 • 7;14 / 4r1 i� 2011 <br /> Signature of Permittee, Corporate S54icer, Owner,or Do. mente s I esi,nee Date <br />