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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: Karl Nyquist <br /> Permittee Company: Prowers Aggregate Operators, <br /> LLC <br /> Address: 7991 Shaffer Parkway, Suite 200 <br /> Littleton, CO 80127 <br /> Phone Number: (303)369-5100 <br /> Fax Number: <br /> Email Address: Karl@cacompanies.com <br /> Permitting Contact: Karl Nyquist <br /> Company: Prowers Aggregate Operators, <br /> LLC <br /> Address: 7991 Shaffer Parkway, Suite 200 <br /> Littleton, CO 80127 <br /> Phone Number: (303)369-5100 <br /> Fax Number: <br /> Email Address: Karl@cacompanies.com <br /> Inspection Contact: Karl Nyquist- (� <br /> Company: Prowers Aggregate Operators, <br /> LLC l � ,\ `' <br /> Address: lea: �t tr_ „v. ,, c,,:. inn 9s,f COU�nVj � Vk ., <br /> I,;ttla+ nn oni�-� <br /> ' <br /> La VV`0.t , C D Z <br /> Phone Number: - r G0 �� <br /> 0 .,-, <br /> Fax Number: 1O <br /> Email Address: <br /> fbr @ . Cv'm <br /> 13 <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 /> ( ,-A-- <br /> Signat a of Permittee or orate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />