Laserfiche WebLink
t <br /> 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: Kelly Kardos <br /> Permittee Company: XTO Energy Inc. <br /> Address: P.O. BOX 6501 <br /> ENGLEWOOD,CO 80155 <br /> Phone Number: (303)397-3727 <br /> Fax Number: (505)213-0456 <br /> Email Address: Kelly_kardos@xtoenergy.com <br /> Permitting Contact: Kelly s4all <br /> Company: XTO Energy Inc. <br /> Address: 382 Road 3190 Q 6 �UX �s`—)Q) <br /> A�ro ATTf 4�n1n_ <br /> Phone Number: <br /> Fax Number: <br /> Email Address: <br /> �C` (ti - 74 <br /> Inspection Contact: Ke'.lj o. ?! <br /> Company: XTO Energy Inc. <br /> Address: 382 Road <br /> -.a 31 'bon o� <br /> Phone Number: <br /> Fax Number: <br /> Email Address: <br /> LU <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 /> V (-'ucW�j <br /> i <br /> Si nature of PkJmitiee,Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-04 <br /> 00 . csl3 <br />