2017-11-08_REPORT - M1986040

• Permit No: M1986040
• IBM Index Class Name: REPORT
• Doc Date: 11/8/2017
• Doc Name: Annual Fee/Report/Map
• From: Bear River Sand and Gravel, LLC
• To: DRMS
• Annual Report Year: 2017
• Email Name: GRM
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have
information on record). If this information is blank or not current,please type or print current contact information:
Permittee Contact: Gregory L. Brown
Permittee Company: Bear River Sand and Gravel,
LLC
Address: 6688 N.Central Expressway#
650
Dallas,TX 75206
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: Gregory L.Brown
Company: Bear River Sand and Gravel,
LLC uLAiY1 CCS 0TSZO CT\Ot \-
Address: 6688 N.Central Expressway# t� 4, ;'‘VIM•kLCSS C�=
Dallas,TX 75206 650 L i) -j ,,O�-T i b N) 1 C c -II
. ,
Phone Number: [phone]
(4 ) 2s 5 Lc ci
Fax Number:
Email Address: [e-mail]
Inspection Contact: Gregory L.Brown
Company: Bear River Sand and Gravel,
LLC
Address: 6688 N. Central Expressway#
650
Dallas,TX 75206
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
I,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are
being conducted in acco ce will the Division approv • mining and reclamation plans.
.....4/ Li( 4r)//7 j
i /1,4(41017-
Signature of Permittee,' rpora.a Officer,Owner,or Documented Designee Date
M-AF-01