2000-01-24_REVISION - M1977193 ‎(7)‎

• Permit No: M1977193
• IBM Index Class Name: Revision
• Doc Date: 1/24/2000
• Doc Name: Amendment Application
• From: AZURITE INC
• To: DMG
• Type & Sequence: AM4
• Media Type: D
• Archive: No

- 3 -
19. Correspondence In£o~ation: .
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: D,4N_1 EL ,'`TE~/t~,~('r_. Title: PRES~O6.N1
Company Name: \E.~1( t{WtU~ ~Q~,\p~.wE.~ ~ge+~Po.N~ ~G.
Street: ZOI ' \u~.fNEV CJ~jjVE
City: ~.NOti Grt~ .
State; C~ Zip Code: ~\Z~ Z
Telephone Number: ( ~-1 '~ ) - 2In~J ~ 1 L ~ 3
Fax Number: ( ~-~°1 1 - '2-fob' 1148
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: ~CN~EZtt S' ~'"~~ Title: ~*+SU~t.t1'a /~EOL•
Company Name: ~b~pw~~t-~--*~~~-
Street: `~~7oY- 3~8
City: !~,¢~OQ/t~C1
State: C'~ Zip Code: BUZZ-?i
Telephone Number: ( ~`~ ) - 94F'Z 'F'I~a
Fax Number: ( ~~~ ) - %4Z' gi~~
INSPECTION CONTACT
Contact's Name: .~GJ~11~~- ` •~ ~
~ Tit1e:~IZ~S`~"~
Company Name: ~_~y.e„1~ tt~VV C
Z13v. \ P ME~C ~t~kN ~~L~
Street: Zm t -~V•
NN{~V ~R~V E
City: C ?,.~•~0~1 /
C ~'<V
State: ~ Zip Code: ~IZIZ•
Telephone Number: ( ~ \ ~ ) - ~ZIoOJ ' 1 (`~ 3
Fax Number: ( ,~)~' ) - ~~ 1~`rg
CC: STATE OR FEDERAL LANDOWNER (if anv) Nei
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if anv) (~lA
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -