2016-01-22_REVISION - M1998101

• Permit No: M1998101
• IBM Index Class Name: REVISION
• Doc Date: 1/22/2016
• Doc Name: Notices AM01
• From: DRMS
• To: various
• Type & Sequence: AM1
• Email Name: TOD
• Media Type: D
• Archive: No

-3-
11 Correspondence Information.
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name. B&BZIv_Ai1LCj Title:Pj Warr
Company Name.j (�1y �r ;L.�(Z�I 1 YC `i1 f\1 k / NG ,
Street/P 0 Box' (rj I S 1(Z & YAd21) RD, P.O. Box:
City. P(JEL.r
State. C.C'LC, RA9C
Telephone Number. ( 1 1 9 ) - 5 l f - — 9- 791 --
Fax
i. f if -
Fax Number: ( 7 /9 ) - 5j '1 -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name.
Company Name: moi 14
Street/P.0 Box.
City:
State
Telephone Number: ( 71 ) �j �-' 9-19
Fax Number. ( 7/ 9 ) - �j % — V/ / LIT
INSPECTION CONTACT
Contact's Name: Title.
Company Name.
Street/P.0 Box. P.0 Box.
City:
State' Zip Code
Telephone Number. ( ) -
Fax Number. ( ) -
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: ( )
MARK CARMEL-1.
Zip Code. 01 CC 1
1.
(OBD S , L -) RX. D7,
t?4)03LO
GO LOZAPC
Title' 4+1151•N,161—,8
P.0 Box:
Zip Code: etc -r; 7