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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: Ronda Neumeister <br /> Permittee Company: Eastern Colorado Agg egates, <br /> R.L.L.L.P. <br /> Address: P:O.Box.307" 7 a X 3 <br /> H�IIy,CO -81047 <br /> Phone Number: (719) 7-0117 1 <br /> Fax Number: (719)33'-0115 <br /> Email Address: <br /> Permitting Contact: Ronda Neumeister <br /> Company: Eastern Colorado Aggregates, <br /> LLLP <br /> Address: P.O. ?NOV 1 <br /> Holl�t-, O 81047 r �" 1 . x FS- <br /> Phone Number: (719)53,7,0117 \ <br /> Fax Number: (719)5177-0115 <br /> (7/1) ygq- ZZ6 `t <br /> Email Address: <br /> Inspection Contact: Ronda Neumeister <br /> Company: Eastern Colorado Aggregates, <br /> LLLP <br /> Address: P.0 Bp "307 <br /> Holly, O 81047 <br /> Phone Number: (719) '�-0117 <br /> Fax Number: (719)53q�0115 \ <br /> 2 6 y <br /> Email Address: <br /> 1,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,Cord rate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />