2003-04-30_PERMIT FILE - M2003030 ‎(2)‎

• Permit No: M2003030
• IBM Index Class Name: Permit File
• Doc Date: 4/30/2003
• Doc Name: Permit Application
• From: Joseph L. Dorris
• To: DMG
• Media Type: D
• Archive: No

-2-
9. Corresoondence Information:
Contact's Name:
Company Name:
Street:
IR (name, address, and phone of name to be used on permit):
Ts~o~ L . L~D.e,~is Title: G7~Se.ri"w~/'
o C
City: ~ (a.'7i do $~/': R a S
State: Cplorgd.a zip Code: 8b 90
Telephone Number: ( '~ ~ 9 ) - ~ g~ ~ u~7 9
Fax Number: ( ) - ~~/I~.%' A~<iCiCi' [u' ~i'~~~ - ~~t
PERMITTING CONTACT (if different from applicant/operator above):
Individual's Name: Title:
..:Company Name:
Street:
City:
State:
Telephone Number: ( ) -
Fax Number: ( ) -
Zip Code:
INSPECTION CONTACT:
Individual's Name: _Tosp~r7 L- or s~ {~ 6a. DDrC; s Title:
Company Name:
Street: ,~
City:
State:
Zip Code:
Telephone Number: ( ) - \
Fax Number: _( ) -
CC: STATE OR FEDERAL LANDOWNER (if ate):
Agency: U~'pt• ~F Rartc~lr4,~t~ V.S. ~s~ Srr/~u 3oJ><Z, /~rk t~:`sf.
street: L3oX Z~ 9 ~ 3 zy~Ft WY 2 ~B ~
city: ~'a ; !4
state: CAr'o /'R zip code: €30 '~O
Telephone Number: ( 7! ~ ) - ~~ (o ' z o 3 1
CC: STATE OR FEDERAL LANDOWNER (if any):
AQencv:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -