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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: Ed MacArthur <br /> Permittee Company: Alpine Aggregates,LLC <br /> Address: P.O.Box 880202 <br /> 1878 13th Street <br /> Steamboat Springs, CO 80487 <br /> Phone Number: (970)879-8686 <br /> Fax Number: (970)879-6238 <br /> Email Address: Alpineaggregates@gmail.com <br /> 1,the undersigned,hereby state that the i formation provided in this report is true and accurate, and that site operations are <br /> being conducted in accordance wit th ivision approved mining and reclamation plans. <br /> G 7/2 r(C <br /> Signature of ermittee C rate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />