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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: Judy Sprague <br /> Permittee Company: ARKINS PARK STONE <br /> CORPORATION <br /> Address: 5975 NCR 27 <br /> Loveland, CO 80538 <br /> Phone Number: (970)663-1920 <br /> Fax Number: (970)663-2315 <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 /> aAtQ <br /> S' ture of rmittee or Pora a Officer,Owner,or Documented Designee D t <br /> M-A -0 <br />