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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: John Gilleland <br /> Permittee Company: C&J Gravel Products,Inc. <br /> Address: 27661 U.S. Hwy 160 E <br /> Durango,CO 81301 <br /> Phone Number: (970)385-4112 <br /> Fax Number: (970)385-5014 <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 /> Signature of Permittett,Corporate Officer,Owner,or Documented Designee Date <br /> NA-AF-0 l <br />