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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: Daniele Treves <br /> Permittee Company: Colorado Stone Quarries, Inc. <br /> Address: 1 Marble Quarry Road <br /> Marble, , CO 81623 <br /> Phone Number: (970)704-9002 <br /> Fax Number: <br /> [Email Address: Dnr—drmsminadminUastate.co.us <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 i accord the Division approved mining and reclamation plans. <br /> -7 <br /> Signature of rmittee Corporate Officer,Owner,or Documented Desienee Date <br /> M-AF-01 <br />