2016-03-21_PERMIT FILE - M2016015

• Permit No: M2016015
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/21/2016
• Doc Name: Application
• From: Lucky VI Quarry
• To: DRMS
• Email Name: TOD
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT/OPERATOR
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
PERMITTING CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: (
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
(name, address, and phone of name to be used on permit)
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Title: C.? L.0 nr'•i
P.O. Box: V 75-
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Zip Code: 8 J a s-.).
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(if different from applicant/operator above)
Title:
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P.O. Box:
Zip Code:
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P.O. Box:
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Zip Code: 57/ ;;T 5-.2
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CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number. (
Zip Code:
)-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( 1-