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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: Neil Thomson <br /> Permittee Company: E-470 Public Highway Authority <br /> Address: 22470 E. 6th Parkway <br /> Aurora,CO 80018 <br /> Phone Number: (303)537-3712 <br /> Fax Number: (303)537-3472 <br /> Email Address: Nthomson@e-470.com <br /> Permitting Contact: <br /> Company: E-470 Public Highway Authority <br /> Address: 22470 E. 6th Parkway <br /> Aurora,CO 80018 <br /> Phone Number: (303)537 1-2— <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: <br /> Company: E-470 Public Highway Authority <br /> Address: 22470 E. 6th Parkway <br /> Aurora,CO 80018 <br /> Phone Number: (303) 537 "3 1�Z <br /> Fax Number: <br /> Email Address: N j „rnS CN C� 7� , GSM <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 a roved mining and reclamation plans. 17 <br /> Signature of Permittee Corporate Ofticgk,Ow er,or Documented Designee Date <br /> M-AF-04 <br />