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Page 5 of 5 <br /> Division records indicate the following permittee/landowner contact information(blank fields indicate that we do of have <br /> information on record). If this information is blank or not current,please type or print current contact information: <br /> Permittee Contact: Robert A.Lembke <br /> F= KAi-*�A,41 <br /> Permittee Company: Estate of Rick L Hunt <br /> Address: 8301 E Prentice Ave. <br /> #100 lC�1 COOK se` <br /> Greenwood Village,CO 80111 D tJvE i2, C �v2ot� <br /> Phone Number: (303)773-1005 <br /> Fax Number: (303)773-1176 <br /> 30 3 - 3"1(t 3 30 <br /> Email Address: Boblembre@70ranch.com �t, 1rtti V', CAfzrs-t .Coy,, <br /> Permitting Contact: Rick Hunt <br /> Company: Estate of Rick Hunt <br /> Address: 43160 CR 17-21 <br /> Elizabeth, CO 80107 <br /> Dic 1,)v 1�:.'t?--, CC 0 Z-Ci tV <br /> Phone Number: (303)841-3970 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Rick Hunt <br /> Company: Estate of Rick Hunt <br /> Address: 43160 CR 17-21 <br /> Elizabeth,CO 80107 t�' C c cox s i <br /> CO <br /> Phone Number: (303) 841-3970 <br /> Fax Number: <br /> Email Address: <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 /> 1 � f <br /> cl7-A -3 <br /> S►gnaWre of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />