2021-02-03_REVISION - M2020008

• Permit No: M2020008
• IBM Index Class Name: Revision
• Doc Date: 2/3/2021
• Doc Name Note: Part 2 of 2
• Doc Name: Request For Amendment To Permit
• From: Scott Contracting
• To: DRMS
• Type & Sequence: AM1
• Email Name: LJW
• Email Name: THM
• Media Type: D
• Archive: No

-3-
13. Corresnondence Information:
APPLICANT/OPERATOR (name,address.and phone of name to be used on permit)
Contact's Name: -Ton _ Title: �V� i6r� V)Ckr4QI0,r
Company Name: Sco+l tvr �ih
Street/P.O.Box: gaao E M,nbr ► 00 P.O.Box:
City: anon 0(QL State: C 0 Zip Code: 'Z611Z,
Telephone Number: - 6goo Fax Number:(cam
Email Address: -TR&DAS CZ6
v
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: -
Email Address Name:
INSPECTION CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O.Box: RO,Box:
City: State: Zip Code:
Telephone Number: Fax Number: -
Email Address:
CC: STATE OR FEDERAL LANDOViINER(if any)
Agency: C�.MD
Street:
City: State: Zip Code:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER(if anv)
Agency: (]ilY1(►
Street:
City: State: Zip Code:
Telephone Number: I-