2016-06-27_REVISION - M2009010

• Permit No: M2009010
• IBM Index Class Name: Revision
• Doc Date: 6/27/2016
• Doc Name: Notice of Application Consideration
• From: DRMS
• To: Various
• Type & Sequence: CN1
• Email Name: ERR
• Email Name: WHE
• Media Type: D
• Archive: No

-3.
11. Correspaudengt Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: —ZOLMOZI Mor-3 -"N%6- Title:
Company Name:
Street/P.O.Box: 0 V J17 14 sW .1 P.O.Box:
City: S�ca Vy'00
State: CP k&--445 Zip Code: kQ to
Telephone Number: t —)I Q j- k
Fax Number. lxpi I- 'i CIA- ti 2 1
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O.[lox:
City:
State: Zip Code:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name: cx + mt� Inym%4A, Title: h,%L4-h&,Gt
Company Name: AMIX eAk14%i IL
Street/P.O.Box: -jn-k-&-7 4N."� 2,1 P.O.Box:
City: &IrAAV,,j
State: C.6 JL Lo Zip Code: of
Telephone Number: t
Fax Number: (
CC: STATE OR EEDE RAI,1,ANIK)WNER(if ariv
Agency:
Street:
City:
State: Zip Code:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number.