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Page 5 of 5 <br /> <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 /> <br />Permittee Contact: <br /> <br />Thomas S. Hendricks <br />Permittee Company: <br /> <br />Calais Resources Colorado, Inc. <br />Address: <br /> <br /> <br /> <br />P.O. Box 653 <br />Nederland, CO 80466-0653 <br /> <br />Phone Number: <br /> <br />(303) 258-3953 <br />Fax Number: <br />Email Address: Thomassh@earthlink.net <br />Permitting Contact: <br /> <br />Bruce Humphries <br />Company: <br /> <br />Regulatory Permits <br />Management, Inc. <br /> <br />Address: <br /> <br /> <br /> <br />9050 Old Tom Morris Cir. <br />Highlands Ranch, CO 80129 <br /> <br />Phone Number: <br /> <br />(303) 854-7499 <br />Fax Number: <br />Email Address: Hlhumphries2@comcast.net <br />Inspection Contact: <br /> <br />Thomas S. Hendricks <br />Company: <br /> <br />Calais Resources Colorado, Inc. <br />Address: <br /> <br /> <br /> <br />4415 Caribou Rd. <br />P.O. Box 653 <br />Nederland, CO 80466 <br /> <br />Phone Number: <br /> <br />(303) 258-3953 <br />Fax Number: (303) 258-0402 <br />Email Address: <br /> <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 /> <br /> <br /> <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />M-AF-02