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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: Roy Mayfield <br /> Permittee Company: ARS Sand&Gravel Co LLC <br /> Address: 8505 W.Mtn.View Ln. <br /> Littleton, CO 80125 <br /> Phone Number: (303)791-7404 <br /> Fax Number: (303)791-7405 <br /> Email Address: Rmayfield@arscompanies.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 /> E 1$ <br /> Signature of Permittee or orate Officer,Owner,or Documented Desisnee Date <br /> M-AF-01 <br />