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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: William Peetz <br /> Jule. &tier <br /> Permittee Company: Ranch Land LLC dba Pioneer <br /> Sand Co Inc <br /> Address: -FtE Be .5—&06 <br /> 552&7 6_ /Aldr7Lh/at r bar/ <br /> / <br /> (_` la-ado <br /> ✓`e <br /> Colorado Springs,CO 80933 O laud O ' 1 is', (.. gO91r <br /> Phone Number: (719)492-0266 <br /> (7/9)3-9 9-€/ od x S/ <br /> Fax Number: (719)473-5494 <br /> Email Address: <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 /> Si ture of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF.01 <br />