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PERMFILE100203
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PERMFILE100203
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Entry Properties
Last modified
8/24/2016 9:55:01 PM
Creation date
11/24/2007 6:53:42 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001056
IBM Index Class Name
Permit File
Doc Date
5/31/2001
Doc Name
CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />Q~ I~ <br />VI/LV~r~L ,2~u~. ~ , j <br />'~ ^ Complete Items 1, 2, and 3. Also complete <br />~ item 4 If Restdctad Delivery Is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this cans to the back of the maiipiece, <br />' or on the (rent if space permits. <br />1. l\(v~lJi~cle~Apd(d~res~sed tron:^ ~~,. ~r~,.. <br />~°~ <br />pCn~~ <br />~o~ i`-I <br />'' 2. Artkle Number (Copy <br />t i <br />PS Form 3811, July 1999 <br />A. Received by (Please Pdnf Clearly) <br />EXHIBIT J <br />C. Slgnatum - ' <br />CC ,, ^ Agent <br />X ilAn ~ftQtll'~~. /B~dreasee <br />D. Is tlelivery address diflerart from hem 17 ^ Yes <br />If YES, enter delvery address below: ^ No <br />(,e ail ^ Express Mail <br />^ Registered ^ Return Receipt for Memh~ <br />^ Insured Mail ^ C.O.D. <br />4. Restricted DeINery7 (Extra Reel ^ Yea <br />Domes[k Rehm Receipt <br />l '' <br />1oP595~o0-M-095P <br />--. ~ <br />1 <br />i ~ Complete Items 1, 2, and 3. Also complete A Received try (Please Print Gearty) B. Date c1GDdh'arY <br />item 4 It Restricted Delivery 4s desired. V . ~ ,~ y j S - 0 ' 4` <br />~ Pdnf your name and address on the reverse C. SI afore ' ' <br />so that we can return the card to you. a-Gr-~ ^ A <br />-~ Attach this card to the back of the meilplece, X ~~ <br />or on the front If space permits. ~ <br />D. R delivery address dalerenl horn kern 17 ^ Yes <br />1. Article Addressed to: II YES, enter delivery address below: ^ No ~ 1 <br />~ ~ (y 5~ R <br />ConSeQY?.~~t ~ <br />1 ~~. ; <br />-3 a ~. ~,,~ ~ 3. se Ise Type , <br />/RJL1relWad Mall ^ ExP~+Mell ~ <br />G ^ peglslered ^ ReNm Receipt for Merchandise ; <br />~~ • ~ ~ ~ o(+~ G ^ Insured Meil ^ C.O.D. <br />\ I\A (~ '6~ O 4. Restrlctetl DaIWery7 (Exha Feel ^ Yes <br />2. ANcle Number (Copy born seMce Ibbe/lD~ ~~ 7d 0007 /S y7 ~,~~ I1` <br />PS Form 3811, July 1x99 Domestic Return Recept 102595-0PM-0952 <br />
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