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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: John Avery <br /> Permittee Company: LUKE THE DUKE, LLC <br /> Address: 989 County Road 120 <br /> Hesperus, CO 81326 <br /> Phone Number: (970)759-9977 <br /> Fax Number: <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 /> ile <br /> Signatur f Permittee Cor orate Offic caner,or Documented Designee Date <br /> M- <br />