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Page 5 of 5 <br /> <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 /> <br />Permittee Contact: <br /> <br />Steve Muns <br />Permittee Company: <br /> <br />Tierra Piedra Ranch LLC <br />Address: <br /> <br /> <br /> <br />6410 N Santa Fe, Suite B <br />Oklahoma City, OK 73116 <br /> <br />Phone Number: <br /> <br />(405) 840-9196 <br />Fax Number: (405) 840-9579 <br />Email Address: Muns@coxinet.net <br />Permitting Contact: <br /> <br />J Chandler Marechal <br />Company: <br /> <br />Finney Land Company <br />Address: <br /> <br /> <br /> <br />P.O. Box 2471 <br />Durango, CO 81302 <br /> <br />Phone Number: <br /> <br />(970) 259-5691 <br />Fax Number: (970) 259-4279 <br />Email Address: <br />Inspection Contact: <br /> <br />Mike Clark <br />Company: <br /> <br />Tierra Piedra Ranch LLC <br />Address: <br /> <br /> <br /> <br />P.O. Box 1959 <br />Arboloes, CO 81121 <br /> <br />Phone Number: <br /> <br />(970) 883-2260 <br />Fax Number: (970) 878-4489 <br />Email Address: <br /> <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 /> <br /> <br /> <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />M-AF-01