2018-10-03_PERMIT FILE - M2018051

• Permit No: M2018051
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/3/2018
• Doc Name: Application
• From: Black Mountain Sand
• To: DRMS
• Email Name: PSH
• Email Name: MAC
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Rick Steiskal Title: EHS Manager
Company Name: Black Mountain Sand DJ, LLC
Street/P.O. Box: 420 Commerce Street, Suite 500 P.O.Box:
City: Fort Worth
State: Texas Zip Code: 76102
Telephone Number: (817 )_ 698-9901
Fax Number: ( )-
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: ( )-
INSPECTION CONTACT
Contact's Name: Rick Steiskal Title: EHS Manager
Company Name: Black Mountain Sand DJ, LLC
Street/P.O. Box: 420 Commerce Street, Suite 500 P.O.Box:
City: Fort Worth
State: Texas Zip Code: 76102
Telephone Number: (817 )_ 698-9901
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-