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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: Connie Davis <br /> Permittee Company: Aggregate Industries-WCR, <br /> Inc. <br /> Address: 1687 Cole Blvd.,Ste. 300 <br /> Golden,CO 80401 <br /> Phone Number: (303)716-5295 <br /> Fax Number: (303)716-5340 (303)71&5295 <br /> Email Address: Connie.davis@aggregate-us.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 accordance with the Division approved mining and reclamation plans. <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 T <br />