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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: Cody Wooldridge <br /> Permittee Company: TROLLCO,INC <br /> Address: 1625 Pelican Lakes Point <br /> Windsor,CO 80550 <br /> Phone Number: (970)686-5828 <br /> Fax Number: (970)686-2768 <br /> Email Address: Cwooldridge@watervalley.com <br /> Permitting Contact: is <br /> Company: TROLLCO,INC <br /> Address: 1625 Pelican Lakes Point <br /> Windsor, CO 80550 <br /> Phone Number: (970)686-5828 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: <br /> cop/ Gprl Ito 6E <br /> Company: TROLLCO,INC <br /> Address: 1625 Pelican Lakes Point <br /> Windsor,CO 80550 <br /> Phone Number: (970)686-5828 <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 /> 4�A"1241 zi//7 <br /> Signature of rm' ee Corporate Ofigd,Owner,or Documented Designee Date <br /> M-AFA1 <br />