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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: Richard E.Curry <br /> Permittee Company: Grand Gravel <br /> Address: P.O. Box 566 <br /> Hotchkiss, CO 81419 <br /> Phone Number: (970) 872-3545 <br /> Fax Number: (970) 872-3792 <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 /> Signature of Pe mittee C orate Opker Owner,or Documented Designee Date <br /> M-AF-01 CX <br />