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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: Douglas Sessions <br /> Permittee Company: Douglas&Patricia Sessions <br /> Address: 32416 Hwy 34 <br /> PO Box 385 <br /> Wray, CO 80758 <br /> Phone Number: (970) 332-8995- 14U13 <br /> Fax Number: (970)332 C)qCt cj <br /> Email Address: Sessions@plainstel.com <br /> Permitting Contact: Douglas Sessions <br /> Company: Douglas&Patricia Sessions <br /> Address: 32416 Hwy 34 <br /> Wray, CO 80758 <br /> Phone Number: (970) 332-4657 9 70. 33 l _ 4j 15 <br /> Fax Number: (970) 332-4617 <br /> Email Address: <br /> Q�a�ns cawt <br /> Inspection Contact: Douglas Sessions <br /> Company: Douglas&Patricia Sessions <br /> Address: 32416 Hwy 34 <br /> Wray, CO 80758 <br /> Phone Number: (970) 332 4ff-fl <br /> Fax Number: (970)332-4t -7 - <br /> Email Address: V <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 /> Signat a of Permittee or orate fficer,Owner,or Documented Designee 10fate <br /> M-AF-01 <br />