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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: Jerry Carpenter <br /> Permittee Company: Grand Gravel Pit, LLC <br /> Address: 2 County Road 2 <br /> Kremmling, CO 80459 <br /> Phone Number: (970)531-2327 <br /> Fax Number: (916j?�44 94&—, <br /> Email Address: Skylarfay@gmail.com <br /> Permitting Contact: Jerry Carpenter <br /> Company: Grand Gravel Pit, LLC <br /> Address: 2 County Road 2 <br /> Kremmling, CO 80459 <br /> Phone Number: (970) 531-2327 <br /> Fax Number: -8905 <br /> Email Address: Badlandsbc@gmail.com <br /> Inspection Contact: Jerry Carpenter <br /> Company: Grand Gravel Pit,LLC <br /> Address: 2 County Road 2 <br /> Kremmling, CO 80459 <br /> Phone Number: (970)531-2327 <br /> Fax Number: (970)J24-99 3--- <br /> Email Address: Badlandsbc@gmail.com <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being conducte'A,d in accor ance with the Division approved mining and reclamation plans. <br /> S - /0 - 17 <br /> Signature I Permittee,Corporate Officer,Owner,or Documented Desijznee Date <br /> M-AF-01 <br />