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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: 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: Cbeck@petelien.com <br /> Permitting Contact: iia_'elke WiPherc - <br /> C 1. � rU 7- sC G� <br /> Company: Pete Lien& Sons, Inc. <br /> Address: 3401 Universal Dr. <br /> P.O. Box 440 <br /> Rapid City, CO 57701 <br /> Phone Number: <br /> (4,60 3q2- <br /> Fax <br /> Y2-Fax Number: <br /> Email Address: <br /> Inspection Contact: «i+ z <br /> Company: Pete Lien& Sons, Inc. <br /> Address: 9M �o OX #40 <br /> 961 <br /> yam,Q Cry , s--7--7-o1 <br /> Phone Number: -(979)493 7017 <br /> ) 2 " TZZ`f <br /> Fax Number: <br /> Email Address: <br /> I,the undersigned, hej--by state that the information provided in this report is true and accurate, and that site operations are <br /> being conduc -. ' .�. ..• - with the Division approved mining and reclamation plans. <br /> 4, <br /> Signature of ' , mittee,Corporate Officer,Owner,or Documented Designee l ate <br /> M-AF-01 <br />