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Page 5 of$ <br />Division records indicate the following pertnitteellandowner 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: <br />Michael C. Refer <br />Permittee Company: <br />Aggregate Industries - WCR, <br />Inc. <br />Address: <br />1687 Cole Blvd., Ste, 300 <br />Golden, CO 80401 <br />Phone Number: <br />(303)985-1070 <br />Fax Number: <br />(303) 716-5299 <br />Email Address: <br />Mikc.mfer@aggrcgate-us.com <br />Permitting Contact: <br />Patrick Ward <br />M.d.lC. R.4a <br />Company: <br />Aggregate Industries - WCR, <br />Inc. <br />A691.aa1. meusmes WCR. I.c <br />Address: <br />1707 Cole Blvd., Ste. 100 <br />Golden, CO 80401-3220 <br />1687corn mvn sun.300 <br />ca CO aea01 <br />Phone Number: <br />(303) 985-1070 <br />Fax Number. <br />13631)16.52'95 <br />Email Address: <br />Inspection Contact: <br />Patrick Ward <br />MicMcl C Ra., <br />Company: <br />Aggregate Industries -WCR, <br />Inc. <br />Address: <br />1707 Cole Blvd., Ste. 100 <br />Golden. CO 80401-3220 <br />1687 ca. arm.. S.M. 30u <br />canto co Scam <br />Phone Number. <br />(303)985-1070 <br />Fax Number <br />uu31 naazac <br />Email Address: <br />1, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />beingonducted in accord nce with the Division approved mining and reclamation plans. <br />// � , 1 26 20/7 <br />Signature of Permittee. oroorate Officer, Owner, or Documented Desienec Date <br />