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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: Robert A.Lembke <br /> Jason VonLembke <br /> Permittee Company: Scout Investments,L.L.C. <br /> Address: 8301 E.Prentice Ave <br /> Suite 100 <br /> Greenwood Village,CO 80111 <br /> Phone Number: (303)773-1005 <br /> Fax Number: 303-773-1176 C� <br /> Email Address: Dnr—drrnsminadmin@state.co.us jason@thebromleycompanies.com <br /> Permitting Contact: Robert A.Lembke <br /> Jason VonLembke <br /> Company: Scout Invesetments,LLC <br /> Address: 8301 E.Prentice Ave <br /> Suite 100 <br /> Greenwood Village,CO 80111 <br /> Phone Number: (303)773-1005 <br /> Fax Number: <br /> 303-773-1176 <br /> Email Address: Dnr—drmsminadmin@state.co.us <br /> 'ason@thebromleycompanies.com <br /> Inspection Contact: Robert A.Lembke / <br /> Jason VonLembke <br /> Company: Scout Iinvestments L.L.C. <br /> Address: 8301 E.Prentice Ave <br /> Suite 100 <br /> Greenwood Village,CO 80111 <br /> Phone Number: (303)773-1005 <br /> Fax Number: <br /> _ 303-773-1176 <br /> Email Address: Dnr—drmsminadmin@state.co.us <br /> jason@thebromleycompanies.com � <br /> I,the undersigned,h s ate t at the information provided in this report is true and accurate, and that site operations are <br /> being conduc m accordanc ith t ivision approved mining and reclamation plans. <br /> Signature of ermittee orat&Officer,Owner,or Documented Desienee Date <br /> M-AF-01 <br /> APPROVED <br /> as to <br /> FORM <br />