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Page 5 of 5 <br /> Division records indicate the following permittec/landowner contact in1brniation (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: John and Brenda Higgins <br /> Permittee Company: Smithburg Family Partnership, <br /> LLLP <br /> Address: 2 <br /> -7 <br /> 451-CR-31 1 1 — - <br /> Genoa, CO 80818 <br /> �-Phone Number: (719) 74ozatIOL <br /> Fax Number: <br /> Email Address: Jbhi-gins(a,.csrta.corn <br /> Permitting Contact: John and Brenda I figgins <br /> Company: <br /> Smithburg Family Partnership, <br /> LLLP <br /> Address: 27451 CR—3H <br /> Genoa, CO 80818 <br /> Phone Number: (719)-7*-)--"-- 740 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: John and Brenda Higgins <br /> Company: Smithburg Family Partnership. <br /> LLLP <br /> Address: 27451 CR 311----- <br /> Genoa, CO 808 18 <br /> �Phone—Number -- (7-1 9)—740-4� i <br /> Fax Number: <br /> Email Address: Jbhiggins,(q;esrta.com <br /> L <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 /> Signature of Fermi WeT.Corporate-- —Cla-4L <br /> Officer,04er,or Doe ented Designee DdtC <br />