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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: JoannaHopkins <br /> Permittee Company: Snowstorm Sand&Gravel,LLC <br /> Address: P.O. Box 1150 <br /> Silverthorne, C080498 <br /> Phone Number: (970)468-2521 <br /> Fax Number: (970)468-2756 <br /> Email Address: a I vs,4^ 0 e.ArwJ_ "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 /> A, C/ 1ly'L/1(e <br /> Signature ofP rmittee, Corporate Officer, Owner,or Documented Designee Date <br /> M-AF-01 <br /> i <br /> t <br />