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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 <br /> print current contact information: <br /> Permittee Contact: FredSchmalz <br /> Permittee Company: Schmalz Construction Ltd <br /> Address: P.O. Box 1105 <br /> 720 S. 8th St. <br /> Gunnison, C081230 <br /> Phone Number: (970)641-2014 <br /> Fax Number: (970)641-4231 <br /> Email Address: Schmalzconst@hotmail.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 /> VSignature ofPermittee, Cornorat Officer,Owner,or Documented Designee !! <br /> M-nH-oi <br />