2015-03-05_REVISION - M2008078

• Permit No: M2008078
• IBM Index Class Name: REVISION
• Doc Date: 3/5/2015
• Doc Name: Notices SR01
• From: DRMS
• To: Various
• Type & Sequence: SR1
• Email Name: AME
• Media Type: D
• Archive: No

-3-
11. Correspondence Wer m2tion:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
KAIZI.- t4jWVT-
Title: MNyAft��
Company Name:
AP R , tk
Street/P.O. Box:
7191 5}j6ar iL PAP -N Y -.etJtM 2ro
. P.O. Box:
City:
u rmait l-4
_
State:
4o
Zip Code 49o1Z7
Telephone Number:
( 30
Fax Number:
PF.RMITMG CONTACT
(if different from applicant/operator above)
Contacts Name:
-'e>tA "Ylse
Title: U P.
Company Name:
4- -r 40m-e un wr'g I rJy"
Street/P.O. Box:
14ya W 1ZZ.`' Avg -- -:501 IV 17.0
P.O. Box:
City:
L4F.a4TH&46 '—
State:
C-0
Zip Code: 102
Telephone Number:
- 4V7 — 07 3S
Fax Number.
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: ( ) Fax Number: L 1-
CC: STATE OR FEDERAL LANDOWNER (if any
Agency: _� /A
Street:
City:
State:
Telephone Number: ( __) -
P.O. Box:
Zip Code:
Zip Code:
STATE OR FEDERAT. LANDOWNER if an
Agency: _ N
Street:
City:
State:
Telephone Number (_-_ ._,— �-
Zip Ccxie: