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Operator(If Other than Permittee): <br /> Permittee Representative: Craig Rasmuson <br /> Certified Mail # <br /> In accordance with Rule 4.17.1(2)the Operator shall include the names, addresses and phone numbers of all <br /> owners of record to the affected land. Please attach additional sheets for this information if required. <br /> Name Address Phone Number <br /> Trenton Korby PO Box 337282 9703022994 <br /> James Chick PO Box 337282 9703966541 <br /> RZ Properties Investments, LLC PO Box 337282 9705186205 <br /> Mike and Julie Lordemann PO Box 337282 9704050960 <br /> In accordance with Rule 4.171(4), if requesting a partial acreage release the Operator or their agent MUST sign that <br /> they have complied with the following statement: "All applicable portions of the Reclamation Plan requirements <br /> have been satisfied in accordance with theN Rules and all applicable requirements under the Act." <br /> Craig Rasmuson Digit 02 .0signed by 09:10: Rasmu3-06'0 on 2 25 <br /> Date:2025.04.22 09:10:33-06'00' 23 O <br /> Signature of Permittee, Operator or their authorized agent Date <br /> Important: In accordance with Rules 4.14.2L) and 4.17.1 L) This release request must be submitted to the <br /> Division via certified mail and s!�parate from any other correspondence to the Division. <br /> MincralsRcl—Rcqucs[Form 20Scp2017 <br /> Page 2 of 2 <br />