PERMFILE71304

• Permit No: M2001068
• IBM Index Class Name: Permit File
• Doc Date: 7/3/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-3-
Id. Correspondence information:
APPLICANTfOPERATOR (name, address. and phone of name to be used on permit)
Contact's Name: %3~~ ~~Q-G-~L / Title: o+/•`~L-rt
Company Name: ~Frf2o ck G•e.9vc

Street / 3 7 PL vf-f
ctty: 7x++~+D+4A

State: CoGuieit~o Zip Code:
Telephoae Number: 7{ ~ 9 ~ - t~s'6 ' 3~3~f
Far Number: 7( ,9 1_ f~H~v-3v3t~
PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: JvE G~AG~-+rt+JO n+~ LLUYQ iyrtiPlhtA~Rf Title: /iG6+t~~GsvJS++~-7~r1 ~ s
,-
CompanyName: L~44iJ/,f4+¢T /4GF.~~-%
street: ~l2 w• %3 "' Si,
State: C'oe.c~Ada ZtpCode: 8/~b3
Telephone Number: { 7 / y I - 5'N 3 - /~,2 •'f
Fax Number: 7( / 9 1- -rte ~ - / 3~ y
INSPECTION CONTACT
Contact's Name: ~P~Li eAa/j' - Scc ,~-~{uyE Title:
Company Name:
Street:
City:
State:
Telephone Number: (_~ -
Fax Number: ~~ -
CC STATE OR FEDERAL LANDOWNER (if auy)
Ageacy:
Street:
City:
State:
Zip Code:
Telephone Number: ~~ -
Zip Code:
CC: STATE OR FEDERAL LANDOWNER fif anvl
Agency:
Street:
City:
State:
Zip Code:
Telepbone Number: ~~ -