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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: Brad W.Rowe <br /> Permittee Company: Rowe Gravel <br /> Address: 9134 CR 100 <br /> Hesperas, CO 81326 <br /> Phone Number: (970)588-2277 <br /> Fax Number: <br /> Email Address: <br /> Permitting Contact: Brad W.Rowe <br /> Company: Rowe Gravel <br /> Address: 9134 CR 100 <br /> Hesperas, CO 81326 <br /> Phone Number: (970)588-2277 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Brad W. Rowe <br /> Company: Rowe Gravel <br /> Address: 9134 CR 100 <br /> Hesperas,CO 81326 <br /> Phone Number: (970)588-2277 <br /> Fax Number: <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,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />