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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 McClure <br /> Permittee Company: Michael McClure <br /> Address: 18107 Compass Circle <br /> Dripping Springs,TX 78620 <br /> Phone Number: (303) 870-6735 <br /> Fax Number: <br /> Email Address: Mekm3@aol.com <br /> Permitting Contact: Michael McClure <br /> Company: Michael McClure <br /> Address: 18107 Compass CIrcle <br /> Dripping Springs,TX 78620 <br /> Phone Number: (303) 870-6735 <br /> Fax Number: <br /> Email Address: Mekm3Gaol.com <br /> Inspection Contact: Michael McClure <br /> Company: Michael McClure <br /> Address: 18107 Compass CIrcle <br /> Dripping Springs,TX 78620 <br /> Phone Number: (303)870-6735 <br /> Fax Number: <br /> Email Address: Mekm3 a)aol.com <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 /> ao <br /> Signature of Permittee,Corporate Officer,Owner or Documented Designee Date <br /> M-AF-02 <br />