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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: Patrick D.Maher <br /> Permittee Company: Venture Resources, Inc. <br /> Address: P.O. Box 1974 <br /> Idaho Springs,CO 80452 <br /> Phone Number: (239)537-1420 <br /> Fax Number: <br /> Email Address: atrret <br /> �M�h e r hfS11.Cow <br /> Permitting Contact: Ryan J.McHale <br /> Company: Venture Resources, Inc. <br /> Address: P.O.Box 1974 <br /> Idaho Springs, CO 80452 <br /> Phone Number: 083j-6�9-63�3 <br /> P39-537 -/5(20 <br /> Fax Number: (393}� <br /> Email Address: <br /> Inspection Contact: Ryan J.McHale <br /> Company: Venture Resources,Inc. <br /> Address: P.O. Box 1974 <br /> Idaho Springs,CO 80452 <br /> Phone Number: (303)619-6323 <br /> Fax Number: (303)484-6369 <br /> Email Address: <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 /> a.� K Pre.5-1dew� I-/'j?y'�°� <br /> Signature of Permittee.Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-02 <br />