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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: Matt R. Carnahan <br /> Permittee Company: High Flume Gravel Pit, Inc. <br /> Address: C/o Four Corners Materials <br /> P.O. Box 1969 <br /> Bayfield, CO 81122-1969 <br /> Phone Number: (970)247-2172 <br /> Fax Number: (970)259-3631 <br /> Email Address: Mcarnahan@4comersmaterials.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 ccord ance ith the Division approved mining and reclamation plans. <br /> rp 19 <br /> Signature of Pe ittee Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />