1996-09-27_PERMIT FILE - M1996076

• Permit No: M1996076
• IBM Index Class Name: Permit File
• Doc Date: 9/27/1996
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

• -z
9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual ' s Name: Rudolph Fontanari
Company Name: WESTERN SLOPE FLAGSTONE
Street: 3316 E 3/4 Road
City: Clifton
State: CD Zip Code: 81520
Area Code: 970 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual ' s Name: Same
Company Name:
Street:
City:
State : Zip Code :
Area Code: Telephone:
. INSPECTION CONTACT /�� ^_
RECEIPT � � \ Date 1& N $j52 —
Received From W
e S I - U
/� f Dollars F —
9 �
r_ —
m
m
ACCOUNT NOW PAID
AMT OE NT CASH ACC
M70
CBL C4DEP
State: Lip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER ( if any)
Agency: None
Street:
• City:
State: Zip Code:
Area Code: Telephone: