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• Page 5 of 5 <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 /> Permittee Contact: Joseph E.Westhoff <br /> Permittee Company: Westhoff Farms <br /> Address: 2823 CR 3 <br /> Wiggins, CO 80654 <br /> Phone Number: (970)483-5561 <br /> Fax Number: (970)483-5561 <br /> Email Address: Joewesthoff48@gmail.com <br /> Permitting Contact: Joseph E.Westhoff <br /> Company: Westhoff Farms <br /> Address: 2823 CR 3 <br /> Wiggins, CO 80654 <br /> Phone Number: (970)432-5561 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Joseph E.Westhoff <br /> Company: Westhoff Farms <br /> Address: 2823 CR 3 <br /> Wiggins, CO 80654 <br /> Phone Number: (970)432-5561 <br /> Fax Number: <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 /> /I - � 9- iL <br /> Sig ature of Per m—itree, orate Offic Ow or Documented Designee Date <br /> M-AF-01 <br />