PERMFILE59423

• Permit No: M1992045
• IBM Index Class Name: Permit File
• Doc Date: 4/16/1992
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-z-
Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
~~ Individual's Name: ///Y) VC~~YF.(/-„9
Company Name:
Street: t'D 13o,Y ~5 _
city: ~/~R~,°
state: /'OLD qD0 zip code: g/~3L _
Area Code: _ Telephone: /vCaS -766
PERMITTING CONTACT (if
Individual's Name:
different from applicant/operator above)
~~'~ ~ ~

Company Name:
Street:
City:
State:
Area Code:
Telephone:
Zip Code:
INSPECTION CONTACT
Individual's Name: S~ /~~
Company Name:
Street:
City:
State:
Area Code:
Telephone:
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Area Code:
Telephone:
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
-~ v
Zip Code:
Area Code: Telephone: