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Fax <br />Fax <br />Company:Ik Creek Sand & <br />Conifer, CO 80433 <br />81 � 11Z1 <br />Elk Creek Sand & <br />P.O. Box <br />Conifer, CO 80433 <br />Contact: Juliet A. Moores <br />Elk Creek Sand & <br />P.O. Box 416— <br />Conifer, <br />1bConifer, CO 80433 <br />UN(Cv j <br />UrxYt'�f1!�G7 <br />UY�ChC�n�CG1 <br />�Y�hCtil��ec9 <br />`1 <br />n1--- o Om <br />do owner <br />51 <br />ar{ <br />I, the undersi <br />he eby tate that the information provided in this report is true and ' <br />being cond i a r nre accurate, and that site operat;ons are <br />Division approved mining and reclamation plans. <br />signature o <br />Be or Documented Des_r_ <br />--- <br />�.. Date <br />k4c" 1 24 " I 2V) (0 <br />