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Page 3 of3 <br />Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have <br />information on record). Ifthis information is blank or not cunt, please type or pint emit cwt= inform <br />Pe uftw Company- <br />TRNLW MC <br />Address: <br />11728 Highway 93 <br />Boulder, CO 80303 <br />Phone Number: <br />(303) 499-1010 <br />Fax Number: <br />(303) 494-5464 <br />Email Address: <br />Christopher.wilkins 4trin.net <br />Permitting Contact: <br />Carl Campbell <br />Company: <br />TRNLWB, LLC <br />Address: <br />2525 N, Stemmons Frwy., 2nd <br />Floor <br />Dallas, TX 75207 <br />Phone Number: <br />(972) 589-8682 <br />Fax Number: <br />Email Address: <br />Inspection Contact: <br />Carl Campbell <br />Company: <br />TRNLWB, LLC <br />Address: <br />2525 N. Stemmons Frwy., 2nd <br />Floor <br />Dallas, TX 75207 <br />Phone Number: <br />(972) 589-8682 <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 conducted in accordance with the Division approved mining and reclamation plans. <br />�1-2g IP <br />Signature o ermittee, Corporate Officer, Owner, or Documented Desi nee Date <br />M.AF41 <br />