Laserfiche WebLink
Page 5 of 5 <br /> Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have <br /> information on record). If this information is blank or not current,please type or print current contact information: <br /> Permittee Contact: Thomas Musch <br /> Permittee Company: Thomas Musch and Valerie <br /> Musch <br /> Address: 514 Americas Way# 3773 <br /> Box Elder, SD 57719 <br /> Phone Number: (720)483-7207 <br /> zo 6r 25V <br /> Fax Number: NoN E- <br /> Email Address: Vmusch@rocketmail.com <br /> Permitting Contact: Thomas Musch <br /> Company: Thomas Musch and Valerie <br /> Musch <br /> Address: 514 Americas Way# 3773 <br /> Box Elder, SD 57719 <br /> Phone Number: (720)483-7207 <br /> 20-Orls - .bQ <br /> Fax Number: NON <br /> Email Address: Vmusch@rocketmail.com <br /> Inspection Contact: Thomas Musch <br /> Company: Thomas Musch and Valerie <br /> Musch <br /> Address: 514 Americas Way#3773 <br /> Box Elder, SD 57719 <br /> Phone Number: (720)483-7207 <br /> Fax Number: NONE; <br /> Email Address: Vmusch@rocketmail.com <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are <br /> being conduc d in accordance with the Division approv d mining and reclamation plans. <br /> FrPT '`' 2-®1`7 <br /> Signature of Per ' tee Corporate Officer,Owner or Documented Designee Date <br /> M-AF-02 RECEIVED <br /> SEP 19 2017 <br /> OMSION OF RECLAMATION, <br /> MINING AND SAFETY <br />