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Page 5 of 5 <br />Division records indicate the following permittee contact information. lfthis information is not current, please type or prini <br />current contact information: <br />Permittee Contact: <br />Mike Ausburn <br />• Permittee Company: <br />Pioneer Sand Company, Inc. <br />5Ar+£ <br />Address: <br />P.O. Box 7650 <br />Colorado Springs, CO 80933- <br />7650 <br />j000 /4 o r -h r cL r I< Dr <br />LOILT -tID t 5 CD $oRi K <br />, <br />Phone Number: <br />(719) 599-8100 <br />sanfilt <br />Fax Number. <br />(719) 599-8882 <br />Entail Address: <br />Mike@pinneersand.com <br />: (95zc.,41,ReiivP1£ER SAN D . CoM <br />4 the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations arc <br />being conducted in accordance with the Division approved mining and reclamation plans. <br />sure of Permittee. Corporate Officer, Owner. or Documented Designee Date <br />