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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: Bob Sutherland <br /> Permittee Company: West End Gravel Company <br /> Address: 29703 Hwy 97 <br /> P.O. Box 889 <br /> Nucla, CO 81424 <br /> Phone Number: (970)864-7987 <br /> Fax Number: (970)864-7980 <br /> Email Address: Mardellsutherland@hotmail.com <br /> Permitting Contact: Douglas L. Conger <br /> Company: <br /> Address: 711 Hartman Rd. <br /> Cortez, CO 81321 <br /> Phone Number: (970)565-8461 <br /> Fax Number: (970)565-0188 <br /> Email Address: <br /> Inspection Contact: Bob Sutherland <br /> Company: West End Gravel Company <br /> Address: 29703 Hwy 97 <br /> P.O. Box 889 <br /> Nucla, CO 81424 <br /> Phone Number: 864-3fa64 <br /> 070) 4225 '160d <br /> Fax Number: (970)864-7980 <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 /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />