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I <br /> Page 5 0 5 <br /> Division records indicate the following permittee contact information. If this information is not current,please type or pri t <br /> current contact information: <br /> Permittee Contact: Dave Schuler <br /> Pennittee Company: Schuler Constriction <br /> Address: 4520 Ramah Highway <br /> Yoder, CO 80864 <br /> Phone Number: (719)478-2442 <br /> Fax Number: <br /> Email Address: <br /> 1, the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations an <br /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br /> M-AF-01 <br />