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Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />Permittee Company: <br />Connie N. Davis <br />Aggregate Industries -WCR, Inc. <br />Address: <br />1707 Cole Blvd., Suite 100 <br />Golden, CO 80401 <br />Phone Number: <br />(970) 396 -5252 <br />Fax Number: <br />(303) 716 -5340 <br />Email Address: <br />CF.PR.email <br />Connie.davis @aggregate- us.com <br />1, the undersigned, hereby state that, to the best of my knowledge, the information provided in this report is true <br />and accurate, and that site operations are being conducted in accordance with the Division approved mining and <br />reclamation plans. <br />I &- aei e �' <br />Signature of Corporate Officer, Owner, or Documented Designee Date <br />