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Page 5 of 5 <br /> Dig ision records indicate the following permittee contact information. If this information is not current, please type or print <br /> current contact information: <br /> Permittee Contact: Michael A. DeJohn <br /> Permittee Company: Louisiana Land and Gravel - <br /> Company, LLC <br /> Address: P.O. Bo\ 8419 <br /> � f <br /> Clinton. LA 70722 <br /> Phone Number: <br /> i (2'S)683-3358 <br /> Fax Number: (225)683-3802 <br /> Email Address: <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.Corporate Officer,Owner,or Documented Designee Date <br /> t1- <br />