2016-02-29_PERMIT FILE - M2016015

• Permit No: M2016015
• IBM Index Class Name: Permit File
• Doc Date: 2/29/2016
• Doc Name: Completeness Notices
• From: DRMS
• To: Various
• Email Name: TOD
• Email Name: WHE
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Ecl L)o S�r Title: 6 w ne r
Company Name:
Street/P.O.Box: d a s P.O. Box: 9 76 _
City: �i/,+ Q s4
State: 1 D Zip Code: <�-I $
Telephone Number: f 7►q )- �� 7 - ►3
Fax Nwnber: ( Z i CI )- 7'13 3 S 3 S
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
,�.
State: Zip Code:
Telephone Number: ( )Fax Number: 1 )-
INSPECTION CONTACT
Contact's Name: Title: n L,o n e-r
Company Name: t 1 C k y ! c{A/2 21
Street/P.O.Box: $ C4 , Pd 5/ P.O.Box: 9 7 5
City: I C 1, ?�
State: C b Zip Code: t1/,�5 -
Telephone Number: ( % 1 c1 )- 3 7/ -�
Fax Number: ( -?(q )- 7 9 3
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City: f
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-