2021-03-22_PERMIT FILE - M2021018

• Permit No: M2021018
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/22/2021
• Doc Name: Application
• From: Ed Lyons
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: I�n,) I ;u C, Title:
Company Name: At Vr v �,
Street/P.O.Box: y Pcj ,� ,r P.O.Box: ,P S
City: i I 6
State: Ll Zip Code: l
Telephone Number:
Fax Number:
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: cA L Y ;ryt Title: ��1.✓r\AI2A.
Company Name: in
Street/P.O.Box: 2 ? ' C�ti �� �j j P.O.Box: 1 1
City: bLrLS`\ �� 4p
State: t) Zip Code: 25 J 2
Telephone Number: ( :714 )- 3 7 !
Fax Number: ( le' - 7 5 i
INSPECTION CONTACT _
Contact's Name: t h`fir I.-V o�, Title:
Company Name:
Street/P.O.Box: �Z 7 � _l��� / P.O.Box: � ) 4
City: �,1�! ( U G
State: U Zip Code: j �C
Telephone Number: ( (C{
Fax Number: 715 - >71
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: L l 1 L (-7orge.
Street: U" "� �" ��'f 1A\Q in-
City: =l�.L'L
State: ��1) Zip Code:
Telephone Number: �w S C)
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-