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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: Michael D. Krauth <br /> Permittee Company: KrauthCo Inc <br /> Address: 1068 Red Canyon Road <br /> Canon City, CO 81212 <br /> Phone Number: (719)275-5727 <br /> Fax Number: <br /> Email Address: <br /> Permitting Contact: Angela Bellantoni <br /> Company: Environmental Alternatives, Inc <br /> Address: 1107 Main Street <br /> Canon City,CO 81212 <br /> Phone Number: (719)275-8951 <br /> Fax Number: (719)275-1715 <br /> Email Address: <br /> Inspection Contact: Michael D.Krauth <br /> Company: KrauthCo Inc <br /> Address: 1068 Red Canyon Road <br /> Canon City, CO 81212 <br /> Phone Number: (719)371-1678 <br /> Fax Number: <br /> Email Address: <br /> I,the undersigned,hereby state that the info ation provided in this report is true and accurate, and that site operations are <br /> being conducted in accordance with the Di sio approved mining and reclamation plans. <br /> Signature of Permittee, Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />