2000-03-13_PERMIT FILE - M2000040

• Permit No: M2000040
• IBM Index Class Name: Permit File
• Doc Date: 3/13/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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X14. Corresooodenee Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: /~~lir}n -Bo •t-Rnu ~ Nni'I ~nrec•• Title:
Company Name: P ti J 5 D A ~ Fore ~$ 5 erv i c e
Sac..: _46R TnckSnn 5{
City: n rn m ~iC
State: Vnmino Zip Code: 8207- (a 535
Telephone Number: ((-3n7 1- 745- 2300
Fax Number: I.3b7 1~- 745 2398
PERMITT]NG CONTACT (if different from applicanVoperator above)
Crt Individual's Name: Denn i S Gale Title:~l,
Company Name:
Sveet:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
S~ Individual's Name:
Company Name:
Street:
Ciry:
State:
210 S h St , P O Box 1210
k mmli nn
S,nlorndn _ Zip Code: 80459
(9T0 i. 'tea- 9on4
9c 7° ,,- TZ4- 3(ob2
Zip Code:
Telephone Number: ~,-
FaxNumber: ~_1-
~C: STATE OR FEDERAL LANDO WNER (if anvl
Agency:
Street:
Ciry:
State:
Telephone Number: ~,~-
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( 1-