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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: Steve and Joyce Wright <br /> Permittee Company: Arboles Sand&Stone, LLC <br /> Address: 12577 Highway 151 <br /> Pagosa Springs, CO 81147 <br /> Phone Number: (970) 883-5454 <br /> Fax Number: <br /> Email Address: <br /> Permitting Contact: Nathan A. Barton, <br /> Company: Wasteline, Inc <br /> Address: 1 1501 CR 34 <br /> Mancos, CO 81328 <br /> Phone Number: (605)939-0650 <br /> Fax Number: <br /> Email Address: Vv`-5-(6�(f,I C) a mil, C.o M <br /> Inspection Contact: Steve and Joyce Wright <br /> Company: Arboles Sand& Stone, LLC <br /> Address: 12577 Highway 151 <br /> Pagosa Springs, CO 81147 <br /> - -- --------- --- -- -- ------- <br /> Phone Number: (970) 883-5454 <br /> Fax Number: <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 /> April 7, 2017 <br /> Signature of Permittee, Corporate Officer`,Owner,or Documented Designee Date <br /> M-Al'-ni <br />