2019-01-11_REVISION - M2012013

• Permit No: M2012013
• IBM Index Class Name: REVISION
• Doc Date: 1/11/2019
• Doc Name: Completeness Response
• From: Smithburg Family Partnership
• To: DRMS
• Type & Sequence: AM2
• Email Name: JPL
• 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: J L. -)nt VJ I.1 1 Title: i:1 f�
Company Name: `J n,, t l I'r r r, �q,tit s t `i/l i' T-:,Lk r i l t', L-L-Li
1
Street/P.O.Box: j I C CA i i ti h ..a is S3 Fll P.O.Box:
City: 07 L L IC ,'\
State: Lam. Zip Code:
Telephone Number: ( 1 r ).- r) �'
Fax Number:
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: 5ATkC Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: --.1 c.Ati i ,iAi`_� Title: t. r'LJC4-TC-)
Company Name: Sio, Ilia t L
Street/P.O.Box: i'7 5( C ;`i k( A i'�, 7 F P.O. Box:
City:
State:_,' Zip Code:
Telephone Number:
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: ( 1-