2000-05-08_REVISION - M1999062

• Permit No: M1999062
• IBM Index Class Name: Revision
• Doc Date: 5/8/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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14. Correspondence Information:
APPLICANTIOPERATOR (name,address,and phone of name to be ysed on permit)
Contact's Name: {PL-Vr, c r) r, j(', Title: GAcr
Company Name:
Street: �� /.fin K �COLI S fer yT
City: Lvov,
State: ry � C / Zip Code:
Telephone Number.
Fax Number:
PERMITTING CONTACT (if different from applicant/o eratorr,aJ�ove)
Individual's Name: `i�a �� /N d 117f G Title:
Company Name: �
Street:
City: U
State: Zip Code:
Telephone Number: (
Fax Number: � 011-
IIVSPECTiON-CONTACT — - - -
Individual's Name: e— Title:
Company Name:
Street:
City:
State: Zip Code:
Telephone Number: L-1-
Fax Number: ��-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: AJ A
Street:
City:
State: Zip Code:
Telephone Number:
CC STATE OR FEDERAL LANDOWNER(if any)
Agency: /A
Street:
City:
Statc: Zip Code:
Telephone Number: ( )-