2021-01-26_PERMIT FILE - M2020028 ‎(4)‎

• Permit No: M2020028
• IBM Index Class Name: Permit File
• Doc Date: 1/26/2021
• Doc Name: Adequacy Review Response
• From: Fountain Mutual Irrigation Company
• To: DRMS
• Email Name: AME
• Email Name: TC1
• Media Type: D
• Archive: No

-3-
13. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: &av4 L L.5krla P- Title:
Company Name: FN!C
Street/P.O.Box: P.O.Box:7429Z
City: dArak �ns5 State: Cd Zip Code: 90VO
Telephone Number. (717 )- -sw-lw t3 Fax Number:( 1-
Email Address: _l5knI2 nCRSt�net
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. L-�- Fax Number:j )-
Email Address Name:
INSPECTION CONTACT (if different from applicantloperator above)
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City: State: Zip Code:
Telephone Number: - Fax Number:L )-
Email Address:
CC: STATE OR FEDERAL LANDOWNER(if any
Agency:
Street:
City: State: Zip Code:
Telephone Number. ( 1-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City: State: Zip Code:
Telephone Number: f -