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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: Richard E. Curry <br /> Permittee Company: Grand Gravel <br /> Address: P.O. Box 566 <br /> Hotchkiss, CO 81419 <br /> Phone Number: (970)872-3545 <br /> Fax Number: (970)872-3i�gT3.54(S <br /> Email Address: <br /> Permitting Contact: Richard E.Curry <br /> Company: Grand Gravel <br /> Address: P.O. Box 566 <br /> Hotchkiss,CO 81419 <br /> Phone Number: (970) 2 16— a 14 77 � <br /> Fax Number: (970)872-3792 <br /> Email Address: <br /> Inspection Contact: Richard E.Curry <br /> Company: Grand Gravel <br /> Address: 1167 County Road 2 <br /> P.O. Box 236 <br /> Kremmling, CO 80459 <br /> Phone Number: (47-0 -3 <br /> 970 2 <br /> Fax Number: (970)872-3 3-5 L/5 tZ <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 /> C� <br /> Signature of Permittee,Corporate -cer, wner,or Documented Designee Date <br /> M-AF-01 <br />