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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: Julie Sevier <br /> Permittee Company: Raymond F. &Robert W. <br /> Dellacroce <br /> Address: Pioneer Sand Co., Inc. <br /> P.O. Box 7650 <br /> Colorado Springs, CO 80903 <br /> Phone Number: (719)599-8100 <br /> Fax Number: (719)266-6911 <br /> Email Address: Jsevier@pioneersand.com <br /> Permitting Contact: Ron Turner <br /> Company: Resource Geoscience, Inc. <br /> Address: 19 East Willamette Avenue <br /> Colorado Springs, CO 80903 <br /> Phone Number: (719)635-0229 <br /> Fax Number: (719)635-8106 <br /> Email Address: <br /> Inspection Contact: Raymond F.Dellacroce <br /> Company: Raymond F. &Robert W. <br /> Dellacroce <br /> Address: 2210 West Baptist Road <br /> Colorado Springs, CO 80921 <br /> Phone Number: (719)634-4155 <br /> Fax Number: (719)389-0971 <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 /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />