2017-05-04_REVISION - M1987088

• Permit No: M1987088
• IBM Index Class Name: REVISION
• Doc Date: 5/4/2017
• Doc Name: Completeness Notice
• From: DRMS
• To: Various
• Type & Sequence: AR1
• Email Name: LJW
• Email Name: GRM
• Media Type: D
• Archive: No

•
-3-
14. C.orrrgopoondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Barbara E. Hubbs Title:Trustee
Company Name: Ted R. HUbbs Fbiaily Trust
Street:: 7994 E. Saddleback Dr.
City: Kingman
State: Arizona Zip Code: 86401
Telephone Number: ( _ 520 Z - 692-6208 - HM; 692-1144 - WK
Fax Number:
i
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company- Name:
Street:
City:
I
State: Zip Code.-
Telephone Number: ( 1 -
Fax Number: ( 1 -
IN PECTION CONTACT
Contact's Name: Barbara E. Hubbs Titles Trustee
Company Name: Ted R. Hubbs Family Trust
street: 7994 E. Saddleback-Dr.
City$ Ki gwn
State: AZ Zip Code: 86401
Telephone Number: j 520 1 _ 692-6208 - HM; 692-1144 - WK i
Fax Number: ( 1 -
CCs STATE OR FEDERAL LANDOWNER (if anvil I NEED AT LEAST ONE WEEK NOTICE OF INSPECTION.
Agency:
Street$
City: =
State: Zip Code:
Telephone Number: 1 1 -
CCu--STATE QR FEDERAL LANDOWNER 1 if anvil
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ],