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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: Chester Barnard <br /> OK <br /> Permittee Company: Barnard Quarries <br /> Barnard Quarries LLC <br /> Address: 245 Evans Street <br /> P.O.Box 86 <br /> Lyons,CO 80540 OK <br /> Phone Number: (303) 823-6977 <br /> OK <br /> Fax Number: <br /> Email Address: <br /> Permitting Contact: Chester Barnard <br /> OK <br /> Company: Barnard Quarries Barnard Quarries LLC <br /> Address: 245 Evans Street <br /> P.O.Box 86 <br /> Lyons,CO 80540 OK <br /> Phone Number: (303)823-6977 OK <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Chester Barnard <br /> OK <br /> Company: Barnard Quarries Barnard Quarries LLC <br /> Address: 245 Evans Street <br /> P.O.Box 86 <br /> Lyons,CO 80540 OK <br /> Phone Number: (303)823-6977 OK <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 /> YL <br /> Signature of Permittee.Corporate Officer,Owner.or Documented Designee Date <br /> ,,&AF-01 <br />