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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 <br />print current contact information: <br />Permittee Contact: <br />AndyWeber <br />Permittee Company: <br />Weber Sand & Gravel, Inc. <br />Address: <br />2980 E. Hwy. 160 <br />Pagosa Springs, CO81147 <br />Phone Number: <br />(970) 264-4568 <br />Fax Number: <br />(970) 264-9089 <br />Email Address: <br />W Gber �n ad c� ►o c,et C� of i (. <br />o m <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 />)"LIQA-) 9- /- C;o i 5 <br />Corporate Officer, Owner, or Documented Designee Date <br />M -AF -01 <br />