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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 <br /> print current contact information: <br /> Permittee Contact: CaseyMcClellan -or- Nathan A. Barton <br /> Permittee Company: McStone Aggregates,LLC <br /> Address: P.O. Box 1525 <br /> Dolores,C081323 <br /> Phone Number: (970)570-1776 <br /> Fax Number: (970) 565-0276 -or- (6 0 5) 9 3 9-0 6 5 0 <br /> Email Address: caseymcclellan@msn.co or wasteline6@aol . 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 <br /> r with the Division approved mining and reclamation plans. <br /> 44"7 °� 21 DULY 2016 <br /> Signature ofPermittee.Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />