PERMFILE48387

• Permit No: M1995075
• IBM Index Class Name: Permit File
• Doc Date: 12/14/1995
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

N ~
-2-
respondence Information:
'LICANT/OPERATOR (name, address, and phone of name to be used on permit)
Indivi~al's Name: St~yc' 1.. ~rrl.~~ li 1<,
Company Name: _~Yi; „ t 1, ~ (' nun fr /.~n.•:i .,.~~ ri •l a.' f)r p~J-_
Street: ~~n A~.,,.Pr ,J;.~.
.
City: ~nn,~.niht
State: ~ o ~o,, a~.lo Zip Code: ~~~ y 9
Area Code: ~ i q Telephone: 6 s ~-- -~ c S" y
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
Zip Code:
Telephone:
Zip Code:
Telephone:
CC:__ STATE OR FEDERAL LANDOWNER (1f any)
Agency:
Street:
City:
State:
Area Coder Telephone:
CC: _STATE OR FEDERAL LANDOWNER (if any)
Agency: _
Street:
City:
State:
Zip Code:
Zip Code:
Area Code: Telephone: