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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 print <br />current contact information: <br />Pennittee Contact: <br />Joanna Hopkins <br />1 _ <br />Ptio^ l'@ --k <br />Permittee Company: <br />Everist Materials, LLC <br />Address: <br />P.O. Box 1150 <br />Silverthorne, CO 80498 <br />Phone Number: <br />(970) 468-2521 <br />Fax Number: <br />(970) 468-2756 <br />Email Address: <br />Jhopkins@evmat.com <br />acts e_,Y,,Ar.,.+. <br />. CO 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 plan. <br />Signature of'Permittee, Corporate Officer, Owner, or Documented Designee <br />M -AF -01 <br />ILI k5 i VS -- <br />Date <br />