PERMFILE52618

• Permit No: M1999060
• IBM Index Class Name: Permit File
• Doc Date: 5/21/1999
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

- 3 -
14. Corratwmdence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
Company Name: ~CG.f /yiJi~o_r ~'o„ ~ ~~~.~
Street: oZOOp /I/. .t`ino%n
City:
State:
0
Zip Code: cg / 4 8 ~
Telephone Number:(( /5 1- t9 y6 - 0?9,~ /
Fax Number: 7/ - 8 y6 - O `/,j-~/
PERMITTING CONTAC7 (if different Gom applicant/operator above) n
Individual's Name: ~o6e~~'f ~f. .~UCc'~o Title: C~OGi~Y /~~G.vnc-~
Company Name: ~ G s AAi mG J ~'o .~,T4
Street: a?OO E ~~sf /F'oo/~ /Oti'
city:
State:
Telephone Number:
Fax Number.
INSPECTION CONTACT
individual's Name:
Company Name:
Street:
i~
City: //'ins dw d
State: ~'0 Zip Code: A~G8.2
Telephone Number: 7( ! `/ 1- 8'16 - .,? 9 j /
Fax Number: 7( / 9 1- r4 ~/~ ' O'%3'~/
CC: STATE OR FEDERAL LANDOWNER (if any]
Agency:
Street:
City:
State:
7elephoneNumber: j_1-
~: STATE OR FEDERAL LANDOWNER (ifanvl
Agency:
Street:
City:
State:
~'o Zip Code: ~ / O 8 ~
7L /9 ~. 856 -~/~86
Zip Code:
Zip Code:
Telephone Number: ( ) -