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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: Dave Schuler <br /> Permittee Company: Schuler Construction <br /> Address: 4520 Ramah Highway <br /> Yoder,CO 80864 <br /> Phone Number: ruacc <br /> V NA <br /> 4 . ICa <br /> Email A ress: r , r � <br /> CD O <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 /> _� <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> . -AF-01 <br />