2007-02-21_REVISION - M1995056

• Permit No: M1995056
• IBM Index Class Name: REVISION
• Doc Date: 2/21/2007
• Doc Name: Additional materials for 112c amendment
• From: Donald and Kathryn Weber and Sons dba Weber Sand and Gravel, Inc.
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-3-
~~@ 2 9 2QOp
p(visitxrt o; S~^;g;tpat(on,
ll. Corrcapondeecelnformalbn: AAittirlygprJ'~-alGly
APPLICANT/OPERATOR (namee, address, a~ phone of name to be used on permit)
Contacts Name: /+t'~Gt ~~e-~a~/' Title: y`~`ln Pr
Compatry Name: ~On7ld ~ IG94-H /y/I I~•~.e~?2/~SE/IS l~b~' I~G{7E,r S'~/t~'I ~a/2v'e~ ~YtG
SveetlP.O. Box: Z~Q10 ~ LI~S-~l~f~ 160 P.O. Box:
City:
State:
I S t.,(. M i l l 5.1~/e o f P.o. Box: I °l S I
'l'clephone Number: (~ ~~ 1- 2~O ¢ - '¢~~
Fax Number: (9"ID )- Z/od- - X089
PERMITTING CONTACT (if different frorm applicnnUoperator above) ..11
Contact's Name: t~/1?iT C~h 2~a/1 Title: !tAevt~
Company Name:
Sveet/P.O. Dox:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Namc
Sveet/P.O. Box

7.ip code: f3 r f¢7
Zip Code: Pil ~ ZZ
r °~70 1- X59- 54ra3
( °J7t7 t- SgCL- 50(02
v,t ~ a
''J~~f)~ (L2/17 7.~7p ye Title:
Cih':
State:
Telephone Number: ( ) - _
Fox Numbcr: ( 1-
CC~ STATF, OR FEDERAL LANDOWNER (iCanvi
P.O. Box:
Zip Code:
Agency:
Streel:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FGDF.RAL LANDOWNER (iY anyl
Agetwy:
Street
Citv
State:
Zip Code:
Telephwe Ntunber: ( 1-