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t'age 5 tit' 5 <br />Division records indicate the following perniittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />Gayle Lyman <br />�uSg A. LA25EAI <br />Permittee Company: <br />Elam Construction, Inc. dba Sandco, <br />Address: <br />556 Struthers Ave. <br />Grand Junction, CO 81501 <br />Phone Number: <br />(970) 242-5370 <br />Fax Number: <br />(970) 245-7716 <br />Email Address: <br />Gayle.lyman@elamconstruction.com <br />ptti55, CA�.sctLlfii»cp W�ruetic►nt-�tt-� <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being co ct 'n accorcgnce with the Division ap"ed mining and reclamation plans. <br />Signature of ermitt Co oratecer Qwner, or Documented Designee Date <br />