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Page 5 of 5 <br /> Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have <br /> information on record). If this information is blank or not current,please type or print current contact information: <br /> Permittee Contact: Jaime Sessions <br /> Permittee Company: Glenn E Sessions&Sons,Inc. <br /> Address: 33492 Hwy 125 <br /> P.O.Box 1076 <br /> Walden,CO 80480 <br /> Phone Number: (970)723-4944 <br /> Fax Number: (970)723-8344 <br /> Email Address: Jaime-sessions@yahoo.com <br /> Permitting Contact: <br /> Company: Glenn E Sessions&Sons,Inc. <br /> Address: 33492 Hwy 125 <br /> P.O.Box 1076 <br /> Walden,CO 80480 <br /> Phone Number: (970)723-4944 <br /> Fax Number: (970)723-8344 <br /> Email Address: <br /> �a u C� _ Gzb <br /> Inspection Contact: �X7V- 5YE ;55%0r'S <br /> Company: Glenn E Sessions&Sons,Inc. <br /> Address: 33492 Hwy 125 <br /> P.O.Box 1076 <br /> Walden,CO 80480 <br /> Phone Number: (970)723-4944 <br /> Fax Number: (970)723-8344 <br /> Email Address: <br /> '2 n <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 /> — n /;io - li zs11 - <br /> Sign re of Pe ee Corporate Officer Owner,or Documented Designee Date <br /> M-AF-01 <br />