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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: Miguel Hamarat <br /> Permittee Company: Climax Molybdenum Company <br /> Address: P.O.Box 68 <br /> Empire,CO 80438 <br /> Phone Number: (303)569-3221 <br /> Fax Number: (303)569-2830 <br /> Email Address: Miguel_hamarat@fmi.com <br /> Permitting Contact: Fred J.Menzer .S l'T�A "T t USLI E� <br /> Company: Climax Molybdenum Company <br /> Address: P.O.Box 68 <br /> Empire,CO 80438 <br /> Phone Number: (303)569-3221 <br /> Fax Number: (303)569-2830 <br /> f <br /> Email Address: <br /> Inspection Contact: Tim Haynes <br /> i <br /> Company: Climax Molybdenum Company <br /> Address: 19302 County Rd.#3 <br /> Parshall,CO 80468 <br /> Phone Number: (303)569-3221 <br /> Fax Number: <br /> Email Address: <br /> nes cj-4 ML Co,tA <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 /> i <br /> 1� 31711 -7 <br /> Signatuie of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M•AF-02 <br />