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Page 5 of 5 <br /> Division records indicate the following permittee contact information. If this information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: John Reams <br /> Permittee Company: Reams Construction Co. <br /> Address: 31527 Hwy 141 <br /> P O Box 106 <br /> Naturita,CO 81422 <br /> Phone Number: (970)865-2886 <br /> Fax Number: (970)865-2880 <br /> Email Address: John@reams-construction.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 /> -!s• ao b6 <br /> Signifrure of Permittee or orate Officer,Owner,or Documented Desilinee Date <br /> M-AF-01 <br />