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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 />Ted Pratt <br />Permittee Company: <br /> <br />Flintstone Gravel & Trucking, <br />Inc. <br /> <br />Address: <br /> <br /> <br /> <br />1204 CR 60 <br />P.O. Box 950 <br />Granby, CO 80446 <br /> <br />Phone Number: <br /> <br />(970) 887-0310 <br />Fax Number: (970) 887-0311 <br />Email Address: Terry@flintstonegravel.com <br />Permitting Contact: <br /> <br />Ted Pratt <br />Company: <br /> <br />Flintstone Gravel & Trucking, <br />Inc. <br /> <br />Address: <br /> <br /> <br /> <br />1204 CR 60 <br />P.O. Box 950 <br />Granby, CO 80446 <br /> <br />Phone Number: <br /> <br />(970) 887-0310 <br />Fax Number: (970) 887-0311 <br />Email Address: Terry@flintstonegravel.com <br />Inspection Contact: <br /> <br />Ted Pratt <br />Company: <br /> <br />Flintstone Gravel & Trucking, <br />Inc. <br /> <br />Address: <br /> <br /> <br /> <br />1204 CR 60 <br />P.O. Box 950 <br />Granby, CO 80446 <br /> <br />Phone Number: <br /> <br />(970) 531-9670 <br />Fax Number: (970) 887-0311 <br />Email Address: Terry@flintstonegravel.com <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