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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: Troy Wells <br /> Permittee Company: Garnet Mesa Investments,LLC <br /> Address: 1791 N. Apple Dr <br /> Delta,CO 81416 <br /> Phone Number: (970)874-3134 <br /> Fax Number: (970)874-7594 <br /> Email Address: TwellsFarms@yahoo.com <br /> 1,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 /> t <br /> Signature of Perm' tee Cor orate Officer,Owner,or Documented DesiEnee Date <br /> M-AF-01 <br />