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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: John P.Ary <br /> Permittee Company: Fremont Paving&Redi-Mix, <br /> Inc. <br /> Address: 839 MacKenzie Avenue <br /> Canon City,CO 81212 <br /> Phone Number: (719)275-3264 <br /> Fax Number: <br /> Email Address: Jp@arycorp.com <br /> Permitting Contact: Jodi Schreiber <br /> Company: Fremont Paving&Redi-Mix, <br /> Inc. <br /> Address: 839 MacKenzie Avenue <br /> Canon City, CO 81212 <br /> Phone Number: (719)529-0916 <br /> Fax Number: <br /> Email Address: Jodi@arycorp.com <br /> Inspection Contact: Jodi Schreiber <br /> Company: Fremont Paving&Redi-Mix, <br /> Inc. <br /> Address: 839 MacKenzie Avenue <br /> Canon City, CO 81212 <br /> Phone Number: (719) 529-0916 <br /> Fax Number: <br /> Email Address: Jodi@arycorp.com <br /> I,the dersigned,here state that the information provided in this report is true and accurate, and that site operations are <br /> bein c du ed acc r nce with the Division approved mining and reclamation plans. <br /> 6- �� <br /> Signat of Perm' r ate O r,Owner,or Documented Designee Date <br /> M-AF-01 <br />