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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: Frank L.Leone <br /> Permittee Company: Leone Sand&Gravel LLC <br /> Address: 2400 E Main Street <br /> Trinidad, CO 81082 <br /> Phone Number: (719)846-4170 <br /> Fax Number: (719)846-0605 <br /> Email Address: <br /> Permitting Contact: Joe Gagliano <br /> Company: L.J. Development, Inc. <br /> Address: 256 N. Merrill Dr. <br /> Pueblo West,CO 81007 <br /> Phone Number: (719)240-9424 <br /> Fax Number: (719)583-0768 <br /> Email Address: <br /> Inspection Contact: Frank L. Leone <br /> Company: Leone Sand and Gravel, LLC <br /> Address: 2400 E. Main St. <br /> Trinidad,CO 81082 <br /> Phone Number: (719)846-4170 <br /> Fax Number: (719)846-0605 <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 Cory orat fficer,Owner,or Documented Designee Date <br /> M-AF-01 <br />