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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 />Miire burn <br />j ``(� <br />Permittee Company: <br />Raymond F. & Robert W. <br />Dellacroce <br />Address: <br />Pioneer Sand Co., Inc. <br />P.O. Box 7650 <br />Colorado Springs, CO 80903 <br />Phone Number: <br />Y <br />(719) 599-8100 <br />Fax Number: <br />05912- 509 <br />�-� _ <br />719 .246 6911 <br />Email Address: <br />Mike@pioneersand.com <br />j S E y, ER tti✓pwe-ER • Antt), c. ,,,n <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 />1N•AN•61 <br />Owner, or Reanimated Designee <br />02'n Yie7 <br />Date <br />