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Page 5 of 5 <br /> Division records indicate the following pernt►ttee landowner contact information(blank fields indicate that Nve do not have <br /> information on record). If this mfornaUion is blank or nut current, please type or print current contact intormation: <br /> Permittee Contact: lulic Sevier <br /> j <br /> rPerntittee Company: t Pioneer Sand Company, Inc. <br /> Address: I P O. Box 7650 <br /> Colo-ado Spru►�!, CO 8(19,i 3- <br /> 7050 <br /> phone Number: (71 )) 599-8 100 <br /> Fax Number' (, 1 )) 5)R-760; <br /> F� .mail Address: Iscvicrru ltionecrsand.cum - <br /> Permitting Contact: Joe Kraig v, r.1 <br /> FCompany: Pioneer Sand Company Inc <br /> Address: P(�. tax 7(,50 5�)n'r �, v,,:►� ��y; r,_ <br /> Colorado Springs. C() 80933 ► ► <br /> J <br /> Phone Number: (719) 599-8 100 <br /> Fax Number: <br /> Ismail Address: <br /> Inspection Contact: Joe Kraig <br /> Company: Pioneer Sand Company Inc <br /> j Address: ( P.O. Box 7650 y'Tac 'j � )RI V.,Colorado Springs. CO 90933 d. <br /> J <br /> P one Number: (719)599-8100 <br /> Fax Number: <br /> Email Address: <br /> 1, the undersigned, hereby state that the information provided in tilts report is true and accurate, and that site operations are <br /> being con ucted in accordance with the Division approved mining and reclamation plans. <br /> /w d-6 / <br /> Sigma a of Permittee- Cor'porate Officer,Owner,or Documented Designee )ate <br />