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Page S ors <br />Division records indicate the following permitteellandowner 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: <br />VthM1=$WW— <br />EVGENE <br />Permittee Company: <br />Snowstorm Sand & Gravel, LLC <br />✓ <br />Address: <br />2510 E, //�/Q�NOL++vC1y,SuriE foo <br />S14A WNCC, DJc �9 $a4- <br />Ahonc Number: <br />Fax Number, <br />(9%) 46642"t— <br />AIM <br />Email Address: <br />Alester@evmatcom <br />E M1~ F40 M4 X.1iWr 'oro . Cam <br />Permitting Contact: <br />•11801BrAW-- - <br />, M �LG� <br />Company: <br />Snowstorm Sand &Gravel, LLC <br />VtjCnt,� Cdr'+�4aNtt� DBAtt IRR"SOUL <br />Address: <br />-x}}59-. <br />.ZG'+515 U> - 4w q <br />orne, <br />St�.YE2'retvTz�►6i CO ?M98 <br />Phone Number. <br />Fax Number. <br />Email Address: <br />Jorj. <br />muatLeR@ lk1t.toe.EepmPAt4M-.CbM <br />Inspection Contact: <br />5' Ac�1%E S <br />� P�RM�'fii n1� QD� Tt�T <br />Company: <br />► <br />Address: <br />B-x <br />Phone Number: <br />Fax Number. <br />Email Address: <br />1, 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 Di ision proved mining and reclamation plans. <br />C���a�l., lLG <br />Signa ur of Permittee. Corporate Officer, wn or��U ec ate <br />►sal <br />