2002-05-29_REVISION - M1990025

• Permit No: M1990025
• IBM Index Class Name: Revision
• Doc Date: 5/29/2002
• Doc Name: Amendment Application
• From: Four States Aggregates LLC
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-i_
l4. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: A~~~ ~tyv+I l~.U Title: Mc~.U1d6~
Company Name: ~pu C ~J'} "dsleS A~t~~ ~C
sweet: P. O. B ox 15(„~
city: C~ r
State: GQ ZipCode:g1321 -IS~of~
Telephone Number: (~-1 ~ 1- .r~G~ ~ - ~31~
Fax Number: ~I{ ^(O ] - 5 ~D `J - ~ 0 ~1
PERMITTING CONTACT ,(if different from applicantloperatorabpve)
Contact's Name: VVc'3lCk~y~ ~ ~ ~^r~ Title: ~nvironW>~zl l~ytcpy~t'
Company Name: WBSI~~lY1~ InC. ~~', ~~~ r7~ ~4-~~
Street: (?D,Fx~x F~'£'> '~Wld CA{'tl SD S`T11~f-3c~`IJ
City: Cd~f 4C.~
State:f ~ J Zip Code:~l~l-~~~J
Telephone Number; ~o( O~ ) - 3`~ ~ --l 25 S `~S~ ~~~ -~ 2.~ C~):3~4 - l ~~ n
Fax Number: (425 - rogCc~ - 2.~2>S
INSPECTION CONTACT 1
Contact's Name: `s3fr1Q. S5 a~,1C~n-1~~T~Y
Company Name:
Street:
Ciry:
State:
Telephone Number: (_~ -
Fax Number: ~1-
CC: STATE OR FEDERAL LANDOWNER (if anvl
Zip Code:
Agency: ClOtl2
Street:
City:.
State: Zip Code:
Telephone Number: ~_~ -
CC: STATE OR FEDERAL LANDOWNER (ff anyl
Agency: t'L O Y1 Q.
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -