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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: Gregory L.Brown <br /> Permittee Company: Bear River Sand and Gravel, <br /> LLC <br /> Address: 6688 N. Central Expressway# <br /> 650 <br /> Dallas,TX 75206 <br /> Phone Number: (713)410-7376 <br /> Fax Number: -�2 4—75� <br /> Email Address: Lasallecattle@yahoo.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 conducted in accordance with the Division approved mining and reclamation plans. <br /> S gnature P Mi Vorate Officer,Owner,or Documented Designee Date <br /> %4-AF-01 <br />