PERMFILE50233

• Permit No: M1999018
• IBM Index Class Name: Permit File
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: T~1______Ty (._w,AI,yER
Company Name: Ww~e~tlt ti~srse /snl_Pnt..
Street: ?G~VoD 1. h~rsr• ~ e
C I ty : ~rr:~, ,,. A ~ _
State: ~ Zip Code: ,~/L.LS
Area Code: Telephone: ~ 1a-92~-.~:b9
PERMITTING CONTACT (if different from ai~pitcant/ operator above)
Individual's Name; ~~~~
Company Name:
Street:
City:
State: Zip Code:
Area Code: Teleph~me:
INSPECTIDN CONTACT
Individual's Name: S'IMt
Company Marne:
Street:
City:
State: Zip Code:
Area Code: Teleph~~ne:
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: d/~~I'
Street:
~ City:
State: Zip Code:
Area Code: Telephone:
'
CC: STATE OR FEDERAL LANDOWNER (1f anv)
Agency: ~,.~
Street:
City:
State: 21p Code:
Area Code: Telephone:
ZO 'd ZL6E Ebb £OE 'ON HO.d '),LW 04080"100 ,LS81~ Wd [Z:EO NOW 66-9Z-lflf