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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: John Ary <br /> Permittee Company: Fremont Paving&Redi-Mix, <br /> Inc. <br /> Address: P.O.Box 841 <br /> Canon City,CO 91215 <br /> Phone Number: (719)275-3264 <br /> Fax Number: (719)275-8897 <br /> Email Address: Jp@arycorp.com <br /> �Qd..1 ram\ r <br /> Permitting Contact: 4ordm Sasser- <br /> Company: Fremont Paving&Redi-Mix Inc <br /> Address: P O Box 165 <br /> 839 Mackenzie Ave. <br /> Canon City,CO 81215 <br /> Phone Number: (719)275-1280 <br /> Fax Number: <br /> Email Address: Jordan@arycorp.com <br /> OGt�r�( P-r� �• C'OIM <br /> Inspection Contact: John P.Ary <br /> Company: Fremont Paving&Redi-Mix Inc <br /> Address: P.O.Box 841 <br /> Canon City,CO 81215-0841 <br /> Phone Number: (719)275-3264 <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 /> bein nducted in accordance with the Division approved mining and reclamation plans. <br /> Sign t e ttee CQr6orate Off wner,or Documented Designee D e <br /> M-AF-01 <br />