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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: Craig Howell <br /> Craig Howell <br /> Permittee Company: Nuvemco,LLC <br /> Nuvemco LLC <br /> Address: PO Box 297 P.O. BOX 297 <br /> Naturita,CO 81422 Naturita, CO 81422 <br /> Phone Number: (505)350-5241 505-350-5241 <br /> Fax Number: (904)216-1041 904-216-1041 <br /> Email Address: Okieatnuvemco@hotmail.com okieatnuvemco@hotmail.com <br /> Permitting Contact: Linda S.Carter <br /> Craig Howell <br /> Company: Nuvemco,LLC Nuvemco LLC <br /> Address: P.O. Box 1120 P.O. BOX 297 <br /> Broomfield,CO 80038 Naturita, CO 81422 <br /> Phone Number: (970)872-3247 505-350-5241 <br /> Fax Number: (970)872-3122 904-216-1041 <br /> Email Address: okieatnuvemco@hotmail.com <br /> Inspection Contact: Henry M.Carter <br /> Craig Howell <br /> Company: Nuvemco,LLC Nuvemco LLC <br /> Address: P.O. Box 1120 P.O. Box 297 <br /> Broomfield,CO 80038 Naturita, CO 81422 <br /> Phone Number: (970)872-3247 505-350-5241 <br /> Fax Number: (970)872-3122 904-216-1041 <br /> Email Address: okieatnuvemco@hotmail.com <br /> 1,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 /> Digitally signed by Craig Howell <br /> Craig Howell b roil c;,LLC, e&�`*' 02/10/2017 <br /> Date:2017.02.10 15:00:39-07'00' <br /> Signature o[Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> AF-02 <br /> � 4 <br /> V <br />