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Page 5 0 75 <br /> Division records indicate the following permittee contact information. If this information is not current,please type or pri nt <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 /> 1,the unde ' ed, hereby state that the information provided in this report is true a accurate,and that site operations are <br /> being c cted in accordance with the Division approved n g and reclamation p ns. <br /> 4D6'�( I MA <br /> Sig ature of Permittee Coryor fficer, wner,or Documented DesiLynee Date <br /> M-AF-01 <br />