2013-12-10_PERMIT FILE - M2013080 ‎(6)‎

• Permit No: M2013080
• IBM Index Class Name: Permit File
• Doc Date: 12/10/2013
• Doc Name: New Application Maps canned separately
• From: Pine Bluffs Gravel & Excavating, Inc
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

-3-
IL . Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: —7 D % Title: O w h e F — ?1' e5d
en
Company Name: 2i 11e FIOAS
(;rave-) - -7Ac
Street/P.O. Box: ?D 609 P.O. Box: 60q
City: f i VL L°_ -610f S
State: W o o r', "h 4 Zip Code: 8 Z y g `L
Telephone Number: ( 3o-7 ) _ Zy5 — 3 y Z %
Fax Number: ( 3D i ) - 2 25- — .395- 7
PERMITTING CONTACT (if different from applicant /operator above)
Contact's Name: �P-11 Q r Title: ' -� �' - r
Company Name: �� ln.Q IJ L) 44 S 6- r ve-I
Street/P.O. Box: P.O. Box: 609
City: ,(3 Uycf S
State: W o m t' Al Zip Code: 8 Z 0 8 Z
Telephone Number: (30 ) - 2-415'— 3�, 2 6
Fax Number: (3 o 2 )_ 2Y57- 3 y 5 7
INSPECTION CONTACT
Contact's Name:
Do u
�' l LCD
Title:
Company Name:
�, ln.e
(v'Y� 5
-P Va �-,' , Q
The,
Street/P.O. Box:
P.O. Box:
�0 9
City:
R"h e Bivf-(—S
State:
W ffm t�,
q
Zip Code:
Z 2
Telephone Number:
(30 7 ) _
Z, q S — 3q 2 (o
Fax Number:
( 30-7
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -