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Page s ors <br />Division records indicate the following permittee contact information. If thus information is not cunwit, please type or print <br />cumat contact information: <br />Permittee Contact: Rick L. Hunt J EN tJ t F S HV=-t,2MAQ OR <br />JSFF 1CADAv Y <br />Permittee Company. Rick L Hunt <br />Address: 43160 County Rd 17 - <br />Elizabeth, CO 80107 <br />Phone Number: (303) 646-6486 <br />(303)646-4233 <br />V,-'STATC of 1kkc-K L. V4LL vT <br />i bw n�„c <br />t <br />Gl COO 1- STK T <br />C-0 '2 2O b <br />(303 )- 3-11. - 3$$Z [ 303) -6-16 - 38 9 3 <br />303) -6nc ) <br />Email Address: <br />enn', Ver. SVneryrux& YA'I6- tm . CDrv, <br />I, the undersi hereby state that the information m%tded in thus vis true Ka av yv,:d r r t . s am <br />� Y p report i� frac and accuratE. and that site operations sea <br />being conducted in accordance with the Division approved mining and reclamation plans. <br />"'u�+.rc 1't Ver +d�+[s� _ge•nlh� <br />5 nature o Pennate. CornoMle OAfeer. Owner. erDocuMUIedDgslmxM pato <br />,4AF `&rso-,oJ o� A%me- R�c_i- <br />E- 4unt 5-sAO-At <br />