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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: Joseph Febbraro,Jr. <br /> Permittee Company: Febbraro Construction Co. <br /> Address: 2010 Santa Fe Trail <br /> Trinidad, CO 81082 <br /> Phone Number: (719)846-7789 <br /> Fax Number: (719)846-6537 <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 /> IL 0 0/ (P <br /> Signatur of P—eriMttee.torpqkate Officer,Owner,o Documented Desiunee Date <br /> M-AF A <br />