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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 /> Permittee Company: Pete Lien& Sons, Inc. <br /> Address: P.O.Box 440 <br /> Rapid City, SD 57709-0440 <br /> Phone Number: (605)939-2693 <br /> Fax Number: (605)939-2686 <br /> Email Address: Dwiebersa-netli n rnm _ <br /> --�= Gbec'k- Q e+e-(,e✓1.cI-1 1-1 <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 /> A o <br /> Signature of Permittee,Corporate Officer, Owner,or Documented Designee ate <br /> M-AF-0I <br />