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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: Kelly Hodge <br /> Permittee Company: Loloff Construction,Inc. <br /> Address: 801 8th Street, Suite 130 <br /> Greeley,CO 80631 <br /> Phone Number: (970)301-4292 <br /> Fax Number: <br /> Email Address: Khodge@mill-iron.org K AIHOD6E 10 Com AS lE7 <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 D. sion ap roved mining and reclamation plans. <br /> Signat a ermittee or at Owner,or Documented Designee Da <br /> M-AF-01 <br />