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Division records indicate the following permitteeilandowner contact information(blank fields indicate that Nve do not ha,.e <br /> information on record). If this inforniation is hlank or not current,please type or print current contact information: <br /> Permittee Contact: <br /> Andre Laroche <br /> Permittee Company: Continental Materials <br /> Corporation <br /> Address: 444 E.Costilla St. <br /> Colorado Springs,CO 80903 <br /> Phone Number. (719)491-0288 <br /> Fax Number. R+4)- 98=36Sg <br /> Email Address: Andre_laroche Wtransittnix.com <br /> Permitting Contact: Andre Laroche <br /> Company: Continental Materials Corp dba <br /> Transit Mix Concrete Co. <br /> Address: 444 E.Costilla <br /> Colorado Springs,CO 80903 <br /> Phone Number: (719)491-0288 <br /> Fax Number: <br /> Email Address: attdre_laroclleeatraltsihrlix.c m <br /> Inspection Contact: Anch-e Laroche <br /> Company: Continental Materials Corp dba <br /> Transit Mix Aggregates <br /> Address: 444 E.Cosidla <br /> Colorado,CO 80903 <br /> Phone Number: (719)491-0288 <br /> Fax Number: f�f9j-598-3& <br /> Email Address andre larocheCtransitttiix.cot <br /> 1,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are <br /> being Con cted in accordance,+ith the Divisi n approved mi ning and reclamation plans. <br /> 05-18-2017 <br /> Signatur o ermittee,C.nrno to Office ,Owner,or Documented Designee Date <br />