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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: Robert C.Regester <br /> Permittee Company: R&R/Regester Enterprises, <br /> Incorporated <br /> Address: 844 Beaver Pond Dr. <br /> Divide,CO 80814 <br /> Phone Number: (719)686-8744 <br /> Fax Number: (719)686-1184 <br /> Email Address: Bobregester@haydenoutdoors.com <br /> Permitting Contact: Robert C.Regester <br /> Company: R&R Regester Enterprises,Inc. <br /> Address: 396 Red Cloud Road <br /> P.O. Box 1045 <br /> Florissant,CO 80816 <br /> Phone Number: (719)686-8744 <br /> Fax Number: (719)686-8744 <br /> Email Address: <br /> Inspection Contact: Robert C.Regester <br /> Company: R&R Regester Enterprises, Inc. <br /> Address: 396 Red Cloud Road <br /> P.O. Box 1045 �6��1 <br /> Florissant,CO 80816 <br /> b�� l <br /> Phone Number: (719)686-8744 <br /> Fax Number: (719)686-8744 <br /> Email Address: <br /> �re jes t Mm5s ten 0cL(- -At . cz>�►1 <br /> I,the undersigned,hereby state that the i ation provided in this report is true and accurate, and that site operations are <br /> being conducted in accordance with t vision approved mining and reclamation plans. <br /> Signature of mittee C rporafe Officer,Owner,or Documented Designee Date <br /> M-AF-OI 60 ov� <br /> pp <br /> i <br />