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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: Scott B. West <br /> Permittee Company: Steel Rose 1. Inc. <br /> Address: 802 3rd St. <br /> Colorado Springs, CO 80907 <br /> Phone Number: (719)505-4037 <br /> Fax Number: (719)550-2800 <br /> Email Address: <br /> Permitting Contact: Scott B.West <br /> Company: Steel Rose 1 <br /> Address: 802 3rd St. <br /> Colorado Springs, CO 80907 <br /> Phone Number: -7 9 s-o S- - ,Y03-7 <br /> Fax Number: ? <br /> Email Address: <br /> Inspection Contact: Scott B. West <br /> Company: The Steel Rose 1,Inc. <br /> Address: 802 3rd St. <br /> Colorado Springs, CO 80907 <br /> Phone Number: '7/ 9- SD-r - V4- 7 <br /> Fax Number: -71 cl_ sS'© ., 2 g C)0 <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 /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-02 <br />