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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: <br />Permittee Company: <br />Per Johansson <br />Aspen Smuggler Mine LLC <br />Address: <br />420 E. Main St. <br />Ste. 210 <br />Aspen, CO 81611 <br />Phone Number: <br />(203) 809-2379 <br />Fax Number: <br />Email Address: <br />Per@xcelera.com <br />Permitting Contact: <br />Per Johansson <br />Company: <br />Aspen Smuggler Mine, LLC <br />Address: <br />420 E. Main St. <br />Ste. 210 <br />Aspen, CO 81611 <br />Phone Number: <br />(203) 809-2379 <br />Fax Number: <br />Email Address: <br />Inspection Contact: <br />Per Johansson <br />Company: <br />Aspen Smuggler Mine, LLC <br />Address: <br />420 E. Main St. <br />Ste. 210 <br />Aspen, CO 81611 <br />Phone Number: <br />(203) 809-2379 <br />Fax 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,e�nducted in accordance the Division approved mining and reclamation plans. <br />Owner, or Documented Designee <br />q �� zoi7 <br />Date <br />