REV15982

• Permit No: M1980201
• IBM Index Class Name: Revision
• Doc Name: APPLICATION FOR MINING AND RECLAMATION PERMIT OBANNON PIT
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) /
Individual's Name: 'l~iaMa 5 ~• )')7Gif~laS q/I c/ ~,l~~4~1 L• ~Qf~~aS
Company Name: 7'j')Q~`ijQt (on.crafe~ ~hc-
Street: J30aC x.66
c; ty: ~loKf~Uisfa,, !°.o%yado
State: ~OlpvRdo Zip Code: _ ~//'~~
Area Code: `1/9 Telephone: ~so~- 3'J3~
PERMITTING CONTACT (if different from applicant/operator above)
~.
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
Telephone:
Zip Code:
/OVao% Zip Code: ~// ~~
`1/9 Telephone: fi~'Sa2-373.2
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street : ke'~'tt~1~L-
City:
State:
Area Code: _ Telephone:
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street: ~`E g~liz+.
City:
State:
Area Code: - Telephone:-
Zip Code:

/Ohr ~Lt~ri2s