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Page 5 of 5 <br /> <br />Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have <br />information on record). If this information is blank or not current , please type or print current contact information: <br /> <br />Permittee Contact: <br /> <br />John Ary <br />Permittee Company: <br /> <br />ALL-RITE PAVING & REDI- <br />MIX, INC. <br /> <br />Address: <br /> <br /> <br /> <br />P.O. Box 165 <br />Canon City , CO 81215 <br /> <br />Phone Number: <br /> <br />(719) 275-1280 <br />Fax Number: (719) 275-8897 <br />Email Address: Jp@arycorp.com <br />Permitting Contact: <br /> <br />Angela Bellantoni <br />Company: <br /> <br />Environmental Alternatives Inc <br />Address: <br /> <br /> <br /> <br />1107 Main Street <br />Canon City, CO 81212 <br /> <br />Phone Number: <br /> <br />(719) 275-8951 <br />Fax Number: (719) 275-1715 <br />Email Address: <br />Inspection Contact: <br /> <br />Denise Gonzales <br />Company: <br /> <br />All-Rite Paving & Redi-Mix Inc. <br />Address: <br /> <br /> <br /> <br />P.O. Box 165 <br />Canon City, CO 81215 <br /> <br />Phone Number: <br /> <br />(719) 275-1280 <br />Fax Number: (719) 275-8897 <br />Email Address: <br /> <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 /> <br /> <br /> <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />M-AF-01