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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: Darren Gebhart <br /> Permittee Company: McAtee Construction Company <br /> Address: P.O. Box 1908 <br /> Sterling, CO 80751 <br /> Phone Number: (970)422-3647 <br /> Fax Number: (970)522-9725 <br /> Email Address: Dgebhart@simoncontractors.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 /> Construction manager J-',ZS=/g <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> \I-AF-01 <br /> Note: <br /> Review attached page for details on current <br /> mine status and activities. <br /> Bollish Pit-AR-2016 <br />