PERMFILE70613

• Permit No: M1977140
• IBM Index Class Name: Permit File
• Doc Date: 7/1/1977
• Doc Name: LIMITED IMPACT AND SPECIAL TEN DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

:-
NOTICE PROCEDURES
_3.
After the application has been filed with the Division, notice pro-
cedures outlined in Section 3.2 or 4.2 (whichever ie applicable} must be
followed.
ADDITIONAL INFORMATION
This space can•ye referenced for further information of any of the items
on this form.
To the best of my knowledge, all the information presented in this application
ie true and correct.
sy: ~.ti
Title: • ~-
(Signed by individual legally authorized
to bind the operator to this application),