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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: Andy Weber <br /> Permittee Company: Weber Sand& Gravel, Inc. <br /> Address: 2980 E. Hwy. 160 <br /> Pagosa Springs,CO 81147 <br /> Phone Number: (970)264-4568 <br /> Fax Number: (970)264-9089 <br /> Email Address: Webersandgravel@gmail.com <br /> Permitting Contact: Matt Carnahan <br /> Company: Matt Carnahan <br /> Address: P.O. Box 1951 <br /> 15 W. Mill St. <br /> Bayfield, CO 81122 <br /> Phone Number: (970)759-5463 <br /> Fax Number: (970) 884-5062 <br /> Email Address: <br /> Inspection Contact: Kathy or Andy Weber <br /> Company: Weber Sand&Gravel, Inc. <br /> Address: 2980 E. Hwy. 160 <br /> Pagosa Springs, CO 81147- <br /> 9741 <br /> Phone Number: 0�0 264 l 1O ,a�� � �Jr 6 g ✓ <br /> Fax Number: q {o- A�O j - g o 8_l v <br /> Email Address: 1 <br /> web Qr'sar\d ro-u e l mq%l. Co MI/ <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 /> 4dju,1- )&, 2- /- "30/7 <br /> Signatu a of Pe ittee Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />