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Operator(If Other than Permittee): <br /> Permittee Representative: <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 /> Carl Eiberger Property&50%Interests Owner 303 S. Broadway B200, Denver, CO 80209 303-880-4001 <br /> Aggregate Industries WCRlnc.,Property&50%Interests Owner 1687 Cole Blvd Suite 300, Lakewood, CO 80401 303-985-1070 <br /> KP Kauffman Company Inc.(Oil&Gas Easements) 3616 S. Huron St., Suite 200, Englewood, CO 80110 303-825-4822 <br /> Hall-Irwin Aggregates,LLC(AdjacentPropertyOwner) 5586 W. 19th Street, Greeley, CO 80634 970-587-7200 <br /> H.I.B.E. LLC (Adjacent Property Owner) 5586 W. 19th Street, Greeley, CO 80634 970-587-7200 <br /> City of Aurora (Easements) 15151 E. Alameda Pkwy 3600, Aurora, CO 80012 303-739-7000 <br /> City of Aurora(Adjacent Property Owner) 15151 E. Alameda Pkwy 3600, Aurora, CO 80012 303-739-7000 <br /> In accordance with : .le ' 7 (4), if requesting a partial acreage release the Operator or their agent MUST sign that <br /> they have c, pl. a ' i • - 'ollowing statement: "All applicable portions of the Reclamation Plan requirements <br /> have bee, ,ti I iJ/ • dance with these Rules and all applicable requirements under the Act." <br /> lir <br /> A 0, <br /> Digitally signed by Damon Zuetell <br /> DN:C=US,E=dzuetell@hall-irwin.cam,O= all Irwin 05/22/2025 <br /> m �� u e t e H <br /> Date:2025.05.22 D10:4456-06 00' <br /> S'_natu►-,of Permittee, Operator or their authorized agent Date <br /> Important: In accordance with Rules 4.14.2(a) and 4.17.1(3) This release request must be submitted to the <br /> Division via certified mail and separate from any other correspondence to the Division. <br /> MineralsRetcaseRcquestForm 20Sep20 17 <br /> Page 2 of 2 <br />