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: C,l t 11; c Title: (I i.0 fl e t~
Company Name: 4/A'ri_ _ f,yX G
Street/P.O.Box: Ogg r 4 1 P.O.Box:
City:
State: (1 Zip Code: 1 '2
Telephone Number: ( 7 I q 1- ?T? ` -3 5 35
Fax Number. L 7 144 )- •�3 71 - '21 3 6
PERMITTING CONTACT (if different from applicantloperator above)
Contact's Name: - Ly Title: WrWIA-
Company Name: o v �/ V c L, 'S
Street/P.O.Box: 2 ? -5� C y . [�° / P.O.Box: `7 5
City: ►NSA c }� 4�
State: / 1) Zip Code: �{ �5_Z
Telephone Number: i C{ )- >7 1 —Fax Number: ( 7 l 0� )- ?'15'3 -5-
INSPECTION CONTACT _
Contact's Name: L-V D x++ Title: wK t"
Company Name: L vlm< L1,
Street/P.O.Box: 7 7 o �� l P.O.Box:
City: loll4 n k 0*11,11
f -
State: C- y V I Zip Coder )-C
Telephone Number: ( 71 Q `N- 7 S " 3 Sr'�rjJ
Fax Number: ( -71 q - '3�x 1 " a I -3
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: -� L l )
Street: '1pa-sl-
City: '� n
State: e y Zip Code:
Telephone Number.
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: { )-