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E <br /> Page 5 of 5 <br /> Division records indicate the following permittee contact information. If this information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: Clint Beck <br /> 9 <br /> Permittee Company: Pete Lien&Sons,Inc. <br /> Address: P.O.Box 440 <br /> ' L <br /> Rapid City,SD 57709-0440 <br /> Phone Number: (605)939-2690 <br /> Fax Number: (605)342-6979 <br /> Email Address: Cbeck@petelien.com <br /> a <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are i <br /> being conducted in accordance with the Division approved mining and reclamation plans. : <br /> U0�SAk <br /> 't <br /> `! 1 <br /> Signature of Permittee, Corporate Officer, Owner,or Documented Designee Date <br /> r`. <br /> M•AF•Ql <br /> i6 <br /> is <br /> I <br /> i <br /> r`• <br /> i <br /> ;i. <br /> J <br /> Y <br /> i <br /> e <br /> 3 <br /> L <br /> I: <br /> ii <br /> N <br /> i <br /> t' <br /> i� <br /> 3 <br /> 3' <br /> I� <br /> 1 <br /> i <br /> tl <br /> 3 <br />