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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: Zane Luttrell <br /> Permittee Company: Rocky Mountain Aggregate& <br /> Construction,LLC <br /> Address: 23625 Uncompahgre Rd <br /> Montrose, CO 81401 <br /> Phone Number: (970)209-8340 91-1 0—2,y61 _ 0'0��� <br /> Fax Number: (970)252-1265 <br /> Email Address: , <br /> Permitting Contact: Ryan Ellis <br /> Company: Greg Lewicki and Associates <br /> Address: 11541 Warrington Court <br /> Parker, CO 80138 <br /> Phone Number: (303) 880-6690 <br /> Fax Number: (303)346-6934 <br /> Email Address: <br /> Inspection Contact: Zane Luttrell <br /> Company: Rocky Mountain Aggregate& <br /> Construction LLC <br /> Address: 23625 Uncompahgre Rd <br /> Montrose, CO 81401 <br /> Phone Number: (970)209-8340 <br /> Fax Number: (970)252-1265 <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 con in accordance with the Division ed mining and reclamation plans. <br /> 7,1,6ho( <br /> Signat ermittee, orporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />