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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: Alan Frantz <br /> Permittee Company: Rough Cut,L.L.C. <br /> Address: 15645 Rd. GG <br /> Rocky Ford, CO 81067 <br /> Phone Number: (719)254-4576 <br /> Fax Number: <br /> Email Address: <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 /> { 1 <br /> Signature o e mittee CornoraWWicer,Owner,or Documented DesiEnee Data <br /> M-AF-01 <br />