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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: Casey McClellan <br /> Permitee Company: McStone Aggregates,LLC <br /> New street address: d <br /> Address: 209-4theet <br /> P.O.Box 1525 <br /> Dolores,CO 81323-1525 <br /> Phone Number: (970)882-7878 <br /> Fax Number: (970)882-3888 <br /> Email Address: Wasteline6@aol.com AND mcstone.agg@msn.com g/- <br /> Permitting <br /> Permitting Contact: Nathan A. Barton r/ <br /> Company: WASTELINE, Inc. ✓ <br /> Address: PO Box 3741 <br /> Rapid City, SD 57709-3471 <br /> (605)348-0244 or <br /> Phone Number: (605)939-0650 <br /> Fax Number: Not Used ✓ <br /> Email Address: Wasteline6@aol .com iv <br /> Inspection Contact: EITHER PERSON ABOVE ✓ <br /> Company: <br /> Address: <br /> Phone Number: <br /> Fax Number: <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 /> 7�y(54 <br /> l 19 October 2017 <br /> Signature of Permittee,Corporate Officer.Owner,or Documented Designee Date <br /> M-AF-OI <br />