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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: <br />Fred F. Wilson <br />Permittee Company: <br />Way Up High Mining Company, <br />LLC <br />Address: <br />95 Nettle Creek Road <br />Carbondale, CO 81623 <br />Phone Number: <br />(970) 379-1934 <br />Fax Number: <br />vw► <br />Email Address: <br />t�'d�57fu� �iaoSsaC. <br />1, 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 Divis"on approved mining and reclamation plans. <br />-7-19-16 <br />Signature of Permittee. Corporate Officer, Owner, or Documented Designee <br />A[ AF ' <br />Dale <br />el 0'%*t- --2'i cLe-4 a ecaA ; ov%S c"LLcre <br />ef <br />or 9110.1rs, 91191is, 91QO1 is, <br />6/Q4116) 61 ;Z "/ 16, -7/9//4# 4^01 7/9 & sarcess-'ru <br />t <br />4awl c�c, J" <br />Ma <br />Akac� eck - <br />-� <br />