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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: Steve Chisolm <br /> Permittee Company: All-Rite Paving&Redi-Mix, <br /> Inc. <br /> Address: P.O. Box 165 <br /> Canon City, CO 81215 <br /> Phone Number: (719)275-1280 <br /> Fax Number: (719)275-8897 <br /> Email Address: Steve.chisolm@arycorp.com <br /> Permitting Contact: Paul Banks <br /> Angela Bellantoni <br /> Company: Banks and Gesso, LLC <br /> Environmental Alternatives Inc. <br /> Address: 720 Kipling Street, Suite 117 <br /> Lakewood, CO 80215 1107 Main Street <br /> Canon City, CO 51212 <br /> Phone Number: (303)274-4277 <br /> (719 ) 275-8951 <br /> Fax Number: (303)274-8329 <br /> Email Address: eai@bresnan. net <br /> Inspection Contact: Jodi Ricker <br /> Steve Chisholm <br /> Company: All Rite Paving&Redi-Mix, <br /> Inc. <br /> Address: 839 Mackenzie Ave. <br /> P O Box 165 <br /> Canon City, CO 81215 <br /> Phone Number: (719)275-1280 <br /> Fax Number: (719)275-8897 <br /> Email Address: Jodi@arycorp.com <br /> steve. chisholm@arycorp. 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 accor ance with the Division approved mining and reclamation plans. <br /> L �0r-' � P. � ���� I <br /> Si ature of Permittee,Corporate Officer,Owner,or Do umented Designee Date <br /> M-AF-01 <br />