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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: Greg Westhoff <br /> Permittee Company: Morgan Sand&Gravel Inc <br /> Address: 21215 Hwy No 52 <br /> P.O. Box 1443 <br /> Fort Morgan,CO 80701 <br /> Phone Number: (970)867-8074 <br /> Fax Number: (970)867-3774 <br /> Email Address: Morgansandandgravel@kci.net <br /> Permitting Contact: Greg Westhoff <br /> Company: Morgan Sand&Gravel Inc <br /> Address: 21215 Hwy No 52 <br /> P.O. Box 1443 <br /> Fort Morgan,CO 80701 <br /> Phone Number: (970)867-8074 <br /> Fax Number: (970)867-3774 <br /> Email Address: <br /> Inspection Contact: Greg Westhoff <br /> Company: Morgan Sand&Gravel Inc <br /> Address: 21215 Hwy No 52 <br /> P.O. Box 1443 <br /> Fort Morgan,CO 80701 <br /> Phone Number: (970)867-8074 <br /> Fax Number: (970)867-3774 <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 /> Signature of P ittee,Cornor ,Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />