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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: Brenda Buster <br /> Permittee Company: Stone Canyon Quarry,LLC <br /> Address: 249 J CR 37E <br /> Lyons„CO 80540 <br /> Phone Number: (303) 823-5659 <br /> Fax Number: <br /> Email Address: � La��1jG�Sf�✓!N <br /> 1,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 /> i `G <br /> Signatur of Permittee or or to O icer Owner,or Documented Designee ate <br /> M-AF-01 <br />