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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 />Permittee Contact: <br />John A. CorsonII) <br />0 r\ Ccrx.), <br />Permittee Company: <br />C&B Sand and Gravel Inc. <br />Address: <br />P.O. Box 147 <br />Baggs, WY 82321 <br />Phone Number: <br />(307) 383-2198 <br />Fax Number: <br />(307) 383-2198 <br />Email Address: <br />C i Sq in3 C. ---iso j t 1.0 <br />C e .y <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 />Signata Permittee, Corporate Officer, Owner, or Documented Designee Date <br />M -AF -OI <br />