2007-02-07_REVISION - M1995056

• Permit No: M1995056
• IBM Index Class Name: Revision
• Doc Date: 2/7/2007
• Doc Name: AM application
• From: Weber Sand and Gravel
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

3-
11. Correaoondente Inforoatbo:
APPLICANT/OPF.RATOR (name, address, aad plane of name to be u~d on permit)
Contac's Name: ~hGl~-I V~~2r~ Titk: O~/t Pr
Comparry Name: Y [o~Q.i S~ ~ ~rZ~el
streetlP.o.Bax Zgp,o E Lt.s. r-Iwy l6o P.o.Bax:

city: 'Paa
osa S~/t_n_a
_s
state: ~
~
r ~/.,/Zdo ~~pc~de: $ I (4-7
'1'clephone Number. (°J?O ). 'G (o¢-'¢~~
FaxNlnnber: (9-ID )- 2fod- - 9089

PERMITTING CONTACT (irdi$'erent lion applicam/operator above)

Contact's Name:
h-/1 ~~ Uv/t 3-I'1 ~/I ,1
Title: 't
Neyt

Company Neme:
streeUP.o. Box: I S t~ . w~(~ 115-!reef F .o. -~ox: 19 s I
~ c tc~
city: a
Slate: GO o ado Zip Code: Qlt I Z2
Telephone Nutrtber. ( °J70 ) - 7 S9 - 54fo 3
Fax Number: ( 9717 ~- Sg~- x(02
INSPECTION CONTACT ,r ~
Contact's Name: See T ~ f L2V1 ~ ~-b0 Ye Title:

Compa~ry Namc:

Street/P.O. Box: P.O. Box:
CiN:
State: Zip Code:

Telephone Nunber: ( ) -

Fax Number: ( 1 -
CC: STATF,OR}'1:DERA I.I.ANDOWNER(itmy]
Agatcy:

Street:
Cily:

State: Zip Cade:

Telephone Number: ( ) -
CC: STATE OR FEDERA L IrWDOWNER (it'anv)
Agency:

Street:
Ciry:
State: Zip Cade:

Telepbwe Number: ( ) -