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-2- <br /> 9. Corresaondence Information: <br /> APPLICANT/OPERATOR (name,address,and phone of name to be used on permit): <br /> Contact's Name: J'dAy Title: f�w nl e C <br /> Company Name: <br /> Street: �� 02$� �7 �pt. i l P.O.Box: <br /> City: R-5bldp f <br /> State: C' IO 1`AI& Zip Code: 30 <br /> Telephone Number: <br /> Fax Number: <br /> PERMITTING CONTACT (if different from applicant/operator above): <br /> Contact's Name: Title: <br /> Company Name: <br /> Street: P.O.Box: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: <br /> Fax Number: <br /> INSPECTION CONTACT: <br /> Contact's Name: j"D" 1GA6OWtt� "Title: <br /> Company Name: <br /> Street: P.O.Box: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( Z Fax Number: <br /> CC: STATE OR FEDERAL LANDOWNER(if any): <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( Z - <br /> CC: STATE OR FEDERAL LANDOWNER(if any): <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( ) - <br />