2001-09-14_REVISION - M1986010

• Permit No: M1986010
• IBM Index Class Name: Revision
• Doc Date: 9/14/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATIONFORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

IS. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit) S
Contact's Name: T r6LA17k1i32d QOF
Company Name: T CCLA/TY
Street: is/S lwxcaAl �l/t
City: elm/e y C/ry
State: C04OR400 Zip Code:
Telephone Number: ( 7 /Q)-
Fax Number: ( r//9 )- .2 r,7S
PERMITTING CONTACT (if different from applicaut/operator above)
Contact's Name: X- 41NC711 XZIL-a Title: 60iQSGLT/A/G- GE-oLoO/ST
Company Name: AzUR/TE Alc .
street: /Ooo / O/z /2 Pc, �Rbk 338
City: COT-e4k/
State:% C'oz o 24Do Zip Code: ,F/,Z23
Telephone Number: /p 'er-/ 78
Fax Number: ( �9 )- /99,z — ell 7ff
INSPECTION CONTACT
Contact's Name: n�/t/^/fTh/ Title: Co� r1&4'— 6- GE� �OG/
/y Company Name: zUR/TE /NC.
Street: 106CI C/Z /Z Po Cook 338
City: COO 7?r k/ 4'
State: COZOoxT,� Zip Code:
Telephone Number: ( 761- /7 1 —y/ F
Fax Number: { */p)- 7�.2 — y/ 7 Y
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: (_�-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ��-