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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: Jason Burkey <br /> Permittee Company: Oldcastle SW Group, Inc. dba <br /> United Companies <br /> Address: 2273 River Road <br /> Grand Junction, CO 81505 <br /> Phone Number: (970)243-4900 <br /> Fax Number: <br /> Email Address: Jburkey@oldcastle- <br /> materials.com <br /> Permitting Contact: Jason Burkey <br /> Company: Oldcastle SW Group, Inc. dba <br /> United Companies <br /> Address: 2273 River Road <br /> Grand Junction, CO 81505 <br /> Phone Number: (970)243-4900 <br /> Fax Number: <br /> Email Address: Jburkey@oldcastle- <br /> materials.com <br /> Inspection Contact: Jason Burkey <br /> Company: Oldcastle SW Group, Inc. dba <br /> United Companies <br /> Address: 2273 River Road <br /> Grand Junction, CO 81505 <br /> Phone Number: (970)243-4900 <br /> Fax Number: <br /> Email Address: Jburkey@oldcastle- <br /> materials.com <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 /> C <br /> ��> �� /C;/'6/7 <br /> Signature of Permit e,Corpor earn Officer,Owner,or Documented Designee Date <br /> M-AF-0 1 <br />