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Page 6 of 6 <br /> <br /> <br />Division records indicate the following permittee/landowner contact information. If this information is not current, please <br />type or print current contact information: Rule 5.6.1(a, b). <br /> <br />Permittee Contact: <br /> <br />Craig Liukko <br />Permittee Company: <br /> <br />Red Arrow Gold Corporation <br />Address: <br /> <br /> <br /> <br />P.O. Box 531 <br /> <br />Mancos, CO 81328 <br /> <br />Phone Number: <br /> <br />(623) 551-4128 <br />Fax Number: (623) 551-8127 <br />Email Address: <br /> <br />Landowner Contact: <br /> <br /> <br />Landowner Address: <br /> <br /> <br /> <br /> <br />Landowner Phone <br />Number: <br /> <br /> <br />Landowner Email <br /> <br /> <br /> <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 NOI and reclamation plans. Rule 5.6.1(h). <br /> <br /> <br /> <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br /> <br /> <br />P-AF-01 <br />