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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: Stanley C.Opperman <br /> Permittee Company: Alpine Rock Company <br /> Address: 14802 W 44th Ave <br /> Golden,CO 80403 <br /> Phone Number: (303)279-6611 <br /> Fax Number: (303)279-6216 <br /> Email Address: Sopperman@apc.us.com <br /> Permitting Contact: Mark Martin <br /> Company: Alpine Rock Company ' <br /> Address: 14802 W 44th Ave <br /> Golden,CO 80403 <br /> Phone Number: (303)961-2992 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Mark Martin <br /> Company: Alpine Rock Company <br /> Address: 14802 W 44th Ave <br /> Golden,CO 80403 <br /> Phone Number: (303)961-2992 <br /> Fax Number: <br /> Email Address: <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 /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />