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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: Sete en Company— <br /> (- / <br /> C, UEA) e) �N5 , /N <br /> Address: P.O. Box 440 <br /> Rapid City, SD 57709 <br /> Phone Number: (605)342-7224 <br /> Fax Number: <br /> Email Address: Cbeck@petelien.com <br /> Permitting Contact: -3hclly Ei ick .,n L I — - -- <br /> Company: <br /> Address: P.O. Box 440 <br /> Rapid City, SD 57702 <br /> Phone Number: .(40c1)114772273— 4005) 3ii 2 - 72_7_4 <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: F4 "�., T <br /> Igr t t ere , G vi-i-i Plarz <br /> Company: ny (-1" / , <br /> G'TZ C l Er.) spiv 5� /,� L <br /> Address: P . Box 1961 (P0 1)C 1410 <br /> F 22 <br /> 0 Cry , � � <br /> SI) � -z- <br /> Phone Number: .4.4,103-44)37:629zr— <br /> (& °C) 3K2 — 7Z2"( <br /> Fax Number: <br /> Email Address: <br /> I,the undersigned, her-.y 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 /> l <br /> Signature /'Permittee,Corporate Officer,Owner,or Documented Designee ate <br /> M-AF-01 / <br />