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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: Barbara A.Walz <br /> Perniittee Company: Colowyo Coal Company L.P. <br /> Address: P.O.Box 33695 <br /> Denver, CO 80233-0695 <br /> Phone Number: (303)254-3184 <br /> Fax Number: <br /> __ _ ._. _-_-_____...—._-_ <br /> Email Addre__ss: Bwalz@tristategt.org <br /> Permitting Contact: i-TWT-onami <br /> -irony 7'enny-zn <br /> Company: Colowyo Coal Company L.P. <br /> Address: 5731 State Highway 13 Meeker,CO CO 81641 <br /> Phone Number: (970)824-15?9 /oZ..3a <br /> Fax Number: (970)824:4 I dd $ ­ <br /> Email Address: *uonhylo404rZStat[q�,�A/ — <br /> Inspection Contact: Tony Tennyson <br /> Company: Colowyo Coal Company L.P. <br /> Address: 5731 State Highway 13 <br /> Meeker,CO 81641 <br /> Phone Number: (970)824-1232 <br /> Fax Number: (970)824-1-W <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 /> be conducted in accordance with the Division approved mining and reclamation plans. <br /> Signature of 4ftrit;teje Cor orate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />