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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: <br />Keith Nienhueser <br />Permittee Company: <br />Nienhueser Construction & <br />Excavating Co <br />Address: <br />1243 RD 113 <br />P.Q. Box 173 <br />Sidney, NE 69162 <br />Phone Number: <br />(308) 254-3453 <br />Fax Number: <br />(308) 254-3455 <br />Email Address: <br />kerrtrn Oham!%ton, .t <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 />Signature of Permittee, Coraorate„Of#icer, Owner, or Documented Designee <br />N•AF-01 <br />Date <br />