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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: Sean Mello <br /> Permittee Company: Silt Sand&Gravel,LLC <br /> Address: P.O.Box 1319 <br /> Carbondale,CO 81623 <br /> Phone Number: (970)963-2296 <br /> Fax Number: (970)963-2412 <br /> Email Address: Smello@ws-materials.com <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 /> � •z5 • �� <br /> Signature of Permittee r orate Officer,Owner,or Documented Desienee Date <br /> M-AF-01 <br /> WSM <br /> WESTERN SLOPE MATERIALS <br /> WWW.WS-M ATERIALS.COM <br /> P.O. Box 1 3 1 9 <br /> CARBONDALE, CO 81 623 <br /> CELL: 970.379.0427 <br /> OFFICE: 970.963.2296 <br /> FAX: 970.963.241 2 <br /> SMELLO@WS-MATERIALS.COM <br /> CARBONDALE P-970.963.9424 <br /> SILT PIT.970.876.0154 <br /> SEA N M E L LO A STEWART COMPANY <br /> GENERAL MANAGER WWW.STEWARTCOMPANIES.COM <br />