1991-07-24_PERMIT FILE - M1991081

• Permit No: M1991081
• IBM Index Class Name: Permit File
• Doc Date: 7/24/1991
• 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 tp be used on permit)
Indiv•idual 's Name:
Company Name:
Street:
rI
City: ,1 A .Ye7'-A Ir
-
State: e?.0kp Zip Cade: Flo sS
Area Code: n/9 Telephone: y2—
PERMITTING CONTACT (if different from applicant/operator above) .
Individual 's Name:
Company Name:
Street: 1
City: I�
State: Zip Code:
lid
Area Code: Telephone:
INSPECTION CONTACT
Individual 's Name: c .
Company Name:
Street: [ 6 14-
City: /_e
State: e-, ryd—C Zip Code: isotoS�
Area Code: -71 Telephone: 74a — S�f
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: W
Street::
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any )
Agency:
Street:: �
City:
State: Zip Code:
Area Code: Telephone: