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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: Fred A.Duckels <br /> Permittee Company: Duckels Construction, Inc. dba <br /> Yampa Aggregates C L;, Y <br /> Address: 3500 Duckels Court <br /> Steamboat Springs,CO 80487 <br /> C �rr� ►� <br /> Phone Number: (970)879-6072 <br /> Fax Number: (970)879-6748 <br /> Email Address: Duckelscheryl@aol.com <br /> Permitting Contact: Bruce Humphries C ` Yr" Y S <br /> Company: Regulatory Permits Management, Inc. t t V�J Ct''V),S- '`Cl�oy� <br /> Address: 7425 Winter Berry Ln. p Q G <br /> Castle Rock, CO 80108 <br /> Phone Number: (303)854-7499 <br /> Fax Number: (303)660-3852 LO <br /> Email Address: <br /> C� v,C,�--z I 5 C.�v2 rci t cx Lzr^ <br /> Inspection Contact: Fred Duckels <br /> Company: Duckels Construction,Inc. dba <br /> Yampa Aggregates V Imo' 'e.XA <br /> Address: 3500 Duckels Court <br /> Steamboat Springs,CO 80487 <br /> C JUA V-Y' <br /> Phone Number: (970)879-6072 <br /> Fax Number: (970)879-6748 <br /> Email Address: Duckelscheryl@aol.com C 'v— Y- <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 /> --/Z, /�'��'f _ 11 - ) <br /> Signature of ArmiKe,Cor orate icer,Owner,or Documented Designee Date <br /> M-AF-OI f <br />