1999-09-12_PERMIT FILE - M1999073

• Permit No: M1999073
• IBM Index Class Name: Permit File
• Doc Date: 9/12/1999
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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�14. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: EVAN MELBY Title: PRESIDENT
Company Name: EVAN L. MELBY, INC.
S'.<C": P.O. BOX 4159
City: VENTURA
State: CALIFORNIA Zip Code: 93007
Telephone Number: 800 1- 858-8565
Fax Number: 805 1- 647-8832
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: SAME Title:
Company Name:
1.
Street:
City: _
State: Zip Code:
Telephone Number:
Fax Number: V
1—�-
INSPECTION CONTACT t
Individual's Name: SAME Title:
Company Name:
Street:
kw
City.
State: _ Zip Code:
Telephone Number: 1_�-
FaxNumber:
CC: STATE OR FEDERAL LANDOWNER(ifanvl
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( I-