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Page 5 of <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 />James McCormick <br />Permittee Company: <br />Grasser Construction & Paving, <br />LLC <br />Address: <br />30887 US Hwy <br />Stratton, CO 80836 <br />Phone Number: <br />(719) 348-5383 <br />Fax Number: <br />(719) 348-5931 <br />Email Address: <br />Mccormickllc@yahoo.com <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 Division approved mining and reclamation plans. <br />of Permittee. Corporate Officer, Owner. or Documented Designee <br />H -AF -01 <br />6-0 --Aa- <br />Date <br />