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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: Bill Tezak <br /> Permittee Company: Colorado Quarries Inc <br /> Address: 270 S 15th St <br /> Canon City, CO 81212 <br /> Phone Number: (719)275-6894 <br /> Fax Number: (719)275-2131 <br /> Email Address: Cquarries@qwestoffice.net <br /> Permitting Contact: Richard-Owens , <br /> Company: mg <br /> Address: >Flore , <br /> Main o21C, 1 Sf� S� <br /> C126 <br /> Phone Number: (719)7844775-5 <br /> Fax Number: 1 r �^-_ ✓/ <br /> Email Address: J <br /> n�K �-cam��.� Q� „�� s f b-�f � C �- ►-�. <br /> Inspection Contact: rauth <br /> Company: Colorado Quarries Inc C <br /> Address: 270 S 15th St <br /> Canon City, CO 81212 <br /> Phone Number: (719)275-6894 <br /> Fax Number: l t I S ,� 3) <br /> Email Address: Nkrauth@qwestoffice.net <br /> 1,the undersigned,hereh state that the information provided in this report is true and accurate, and that site operations are <br /> being conducted in ac r ance with the Division approved mining and reclamation plans. <br /> --7 C,J—`f l <br /> Si nature f Permitte , oruorate Officer,Owner,or Documented Designee Date <br /> M-AF-O I <br />