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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: Boyd Astemborski <br /> Permittee Company: High Speed Mining,LLC <br /> Address: 8480 East Orchard Road f'LA U �-I�CC�_- <br /> Ste 3600 ��A Corck—� <br /> 1�, � � <br /> Greenwood Village, CO 80111 ,j <br /> Phone Number: <br /> p - '-t-)o-CDC) S <br /> Fax Number: <br /> Email Address: <br /> Permitting Contact: -BoyTt-ATrembu is Id <br /> Company: High Speed MIning, LLC <br /> Address: 8480 East Orchard Road <br /> Ste 3600 <br /> S�� L1�j CC? <br /> Greenwood Village, CO 80111 <br /> C%c'e towluwlJ �✓ 1�'�z� � � � � ( ( <br /> Phone Number: - 205 Ge5 S <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: Boyd-r4stenrbors4ti '`�S <br /> Lan�� l <br /> Company: High Speed Mining,LLC <br /> Address: 8480 East Orchard Road �ui� 0, L,c Q <br /> Ste 3600 S L y c l <br /> Greenwood Village, CO 80111 <br /> Phone Number: - <br /> �j153 � `-t �0- CD 0 5Fax 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 accor e with the Division approved mining and reclamation plans. <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />