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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: Todd Haynes <br /> Permittee Company: Haynes Excavation,Inc. <br /> Address: 12696 6450 Rd <br /> Montrose,CO 81401 <br /> Phone Number: (970)249-4382 <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 /> Cz S 0 <br /> Signature of Permittee,CorR e Officer, caner,or Documented Designee Date <br /> M-AF-01 <br />