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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 />Barbara A. Walz <br />Permittee Company: <br /> <br />Colowyo Coal Company L.P. <br />Address: <br /> <br /> <br /> <br />P.O. Box 33695 <br />Denver, CO 80233-0695 <br /> <br />Phone Number: <br /> <br />(303) 254-3184 <br />Fax Number: <br />Email Address: Bwalz@tristategt.org <br />Permitting Contact: <br /> <br />Tay Tonozzi <br />Company: <br /> <br />Colowyo Coal Company L.P. <br />Address: <br /> <br /> <br /> <br />5731 State Highway 13 <br />Meeker, CO 81641 <br /> <br />Phone Number: <br /> <br />(970) 824-1579 <br />Fax Number: (970) 824-1598 <br />Email Address: <br />Inspection Contact: <br /> <br />Tony Tennyson <br />Company: <br /> <br />Colowyo Coal Company L.P. <br />Address: <br /> <br /> <br /> <br />5731 State Highway 13 <br />Meeker, CO 81641 <br /> <br />Phone Number: <br /> <br />(970) 824-1232 <br />Fax Number: (970) 824-1598 <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