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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: Rick Noland <br /> Permittee Company: Noland Inc <br /> Address: 40325 Hwy. 160 <br /> P.O.Box 23 <br /> Mancos,CO 81328-8976 <br /> Phone Number: (970)533-7774 <br /> Fax Number: (970)533-7774 <br /> nerve, <br /> Email Address: Ricknoland300@gmail.com r+ic.k r q C.Orh <br /> yft pj, <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 /> J� jz�' Lr-YA <br /> -�&' !l7_l <br /> Signature o ermittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />