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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: Dave Schuler <br /> Permittee Company: Schuler Construction <br /> Address: 4520 Ramah Highway <br /> Yoder, CO 80864 <br /> Phone Number: (719)478-2455 <br /> Fax Number: <br /> Email Address: Tmyers@d49.org <br /> Permitting Contact: Dave Schuler <br /> Company: Schuler Construction <br /> Address: 4520 Ramah Highway <br /> Yoder, CO 80864 <br /> Phone Number: (,�I9)4"--Z44L <br /> I II - 17 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Dave Schuler <br /> Company: Schuler Construction <br /> Address: 4520 Ramah Highway <br /> Yoder, CO 80864 <br /> Phone Number: (17 f 9)42 <br /> t - �17 .Liss- Z! �� �� <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 /> d r / <br /> Signature of Permittee,'Cornorate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />