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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: Ryan Stitt <br /> Permittee Company: City&County of Denver, <br /> Board of Water Commissioners <br /> Address: 1600 W. 12th Ave. <br /> Denver,CO 80204 <br /> Phone Number: (303)628-6539 <br /> Fax Number: (303)628-6851 <br /> Email Address: Ryan.stitt@denverwater.org <br /> Permitting Contact: -John Bambci 'r larqat ,> <br /> L %eLe <br /> Company: City&County of Denver acting <br /> by&thru Bd of Water Comms <br /> Address: 1600 W. 12th Ave. <br /> Denver,CO 80204 <br /> Phone Number: (303)628-6000 -3o3_(0Z.$-(0'75 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: .h,Lu H.Bambel Jr Brn.a P;e le <br /> Company: City&County of Denver acting <br /> by&thru Bd of Water Comms <br /> Address: 1600 W. 12th Ave. <br /> Denver,CO 80204 <br /> Phone Number: (303)628-6000 <br /> 303-lo2.8-6']Slo <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 /> 5 �J tt [ , 12v �1 <br /> Si- re 4'er; itt • Cor I orate Officer,Owner,or Documented Designee Date <br /> 4411.11r <br /> M-AF-04 <br />