PERMFILE100334

• Permit No: M2001088
• IBM Index Class Name: Permit File
• Doc Date: 8/23/2001
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-3-
14. Correatwndeett Information ~~ •
APPLICANT/OPERATOR (came, address, and phon/e~of name to be used ou permit)
Contact's Name: /~lfi/'!/ /C.//70~~/~ /_
P~ - Company Name: C;/!L~ (~ ~//Id~!'~~c° ~!/~,ii
so-eet: .S'~'2 33 /2oac/
Ciry: C// ~~n --
State:
Title: ~~CS.
zip code: ~Q/SZC~ - /3~'O
Telephone Number: ( 970 1- ~.~~ - ~Jr~D
Fax Number: (97d ) - ~.~~- IO.J /~ n
PERMITTING CONTACT (if different from a/pplicant/operator above) CT
Contact's Name: ~L~/7`G/" ~/drio'9 ~ Title: /" rGS ,
n~ Company Name:
V Street:
City:
scares
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Neme:
Company Name:
StreeC
~i~c
city: C/ ',~/--p/7
state: p Cr~ , / zip code: ~pi.s7 D ' /~O D
Telephone Number: ( / ~~ 1- 7` ~~' ~s/D
Fax Number: r 9rlD , - ~3~' G~ .l /D
CC: STATE OR FEDERAL LANDOWNER (if any]
Agency: /1/O~/.E
Street:
City:
State:
Telephone Number: ( ) -
Zip Cade:
CC STATE OR FEDERAL LANDOWNER (if eny)
Agency:
S[reet:
City:
State:
Telephone Number: ( 1
Zip Code:
C~ zip code:.S'// ~l.~-D2 9D
c ~7D ~ - 26B - 5~~/
( 970 , _ z68- ss.~Z