2017-01-30_INSPECTION - M1996076

• Permit No: M1996076
• IBM Index Class Name: Inspection
• Doc Date: 1/30/2017
• Doc Name: Inspection Report
• From: DRMS
• To: Ralph Fontanari
• Inspection Date: 1/18/2017
• Email Name: SJM
• Media Type: D
• Archive: No

PERMIT #: M-1996-076
INSPECTOR'S INITIALS: SJM
INSPECTION DATE: January 18, 2017
Estimated loaction on 2"d test pit- backfilled
Looking North at easement within Permit Boundary
Page 4 of 5