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Division records indicate the following permittee/landowner contact information. If this information is not current, please <br />type or print current contact information: Rule 5.6.1(a, b). <br />Permittee Contact: <br />Rick Wilson <br />Permittee Company: <br />Ouray 79 Mining, LLC <br />Address: <br />13020 FM 1641 <br />Forney, TX75126 <br />Phone Number: <br />(972) 564-2192 <br />Fax Number: <br />(972) 564-2190 <br />Email Address: <br />www <br />Landowner Contact: <br />Landowner Address: <br />Landowner Phone <br />Number: <br />www <br />Landowner Email <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 accordancewith the Division approved NOI and reclamation plans. Rule 5.6.1(h). <br />Signature ofPermittee, Corporate Officer, Owner, or Documented Desi. -nee <br />P -AP -01 <br />7 /dY — <br />Date <br />