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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: <br />Permittee Company: <br />Jim Duran <br />Duran & Pearce Contractors, <br />Inc. <br />504 Stock Dr. <br />P.O. Box 1331 <br />Craig, CO 81626 <br />Address: <br />Phone Number: <br />(970) 8244014 <br />Fax Number: <br />(970) 8244014 <br />Email Address: <br />Jimmytmex@yahoo.com <br />Permitting Contact: <br />Jim Duran <br />Company: <br />Duran & Pearce Contractors, <br />Inc. <br />Address: <br />504 Stock Dr. <br />P.O. Box 1331 <br />Craig, CO 81626 <br />Phone Number, <br />(970) 8244014 <br />Fax Number: <br />(970) 8244014 <br />Email Address: <br />Jimmytmex@yahoo.com <br />Inspection Contact: <br />Jim Duran <br />Company: <br />Duran & Pearce Contractors, <br />Inc. <br />Address: <br />504 Stock Dr. <br />P.O. Box I331 <br />Craig, CO 81626 <br />Phone Number: <br />(970) 824-4014 <br />Fax Number: <br />(970) 8244014 <br />Email Address: <br />Jinvnytmex@yahoo.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 />7 4"..' 1/27voa* 43r-llevx-� <br />Signature of Perm]We, oro Ricer Owner. or Documented Designee Date <br />M -AF ]I <br />