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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: Jim Sheridan / <br /> Stephen J. Cohen (/ <br /> Permittee Company: Cotter Corporation <br /> i <br /> Address: 7800 E. Dorado Place Suite 210 <br /> 7800 E. Dorado Place, Suite 210 <br /> Englewood,CO 80111 1,6reenwood Village, CO 80111 <br /> Phone Number: (720)554-6200 <br /> Fax Number: (720)554-6201 <br /> Email Address: Jim.sheridan@cotterusa.com steve.cohen@cotterusa.com <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 Permittee,Cornorate Officer,Owner,or Documented Desi¢nee Date <br /> M-Akl)' <br />