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Page 5 of 5 <br /> Division records indicate the following permittee contact information. If this information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: Justin Spaeth <br /> Permittee Company: OWL SWD Operating,LLC <br /> Address: 4775 Larimer Pkwy, Suite 200 <br /> Johnstown,CO 80534 <br /> Phone Number: (970)775-8100 <br /> Fax Number: <br /> Email Address: Jspaeth@oilfieldwaterlogistics.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 2 <br /> 02/03/2016 <br /> Sigure of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />