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• <br /> 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: Ronald E. Walker <br /> Permittee Company: AZCO Construction, Inc. <br /> Address: 112 Top Rail Trail <br /> Penrose,CO 81240 <br /> Phone Number: (719)372-6872 <br /> Fax Number: (74-93-3-7-2=0418 <br /> Email Address: <br /> IK. ell< . ( ea210O.est►► (� <br /> Permitting Contact: 3ee-Gagtiatio <br /> aezCef9SCa'ci <br /> Company: L.J. Development, Inc. <br /> Address: 159 Tiffany Ct. <br /> Pueblo, CO 81005 <br /> Phone Number: (719)240-9424 <br /> Fax Number: (719)583-0768 <br /> Email Address: <br /> Inspection Contact: Ronald E. Walker <br /> Company: AZCO Construction, Inc. <br /> Address: /42 Wig,t - K:97 <br /> Penrose,CO 81240 <br /> Phone Number: (719)372-6872 <br /> Fax Number: 4-74-9)-3-7-2-0448- <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 />