PERMFILE102063

• Permit No: M2007007
• IBM Index Class Name: Permit File
• Doc Date: 1/24/2007
• Doc Name: 110c application
• From: Mullett Excavating, LLC
• To: DRMS
• Section_Exhibit Name: m2007007
• Media Type: D
• Archive: No

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6. Corresoondence Information:
APPLICANT/OPERATOR (name, address, ate phone oCnanre to be used on permit)
Contact's Name: Myron Mullett Title: Owner
Company Name: Mullett Excavating. 7~LQ

SlreetP.O. Box: 3 2 0 C R ? 41 P.O. Box: 3 2 2
City: S1TP G} C 1 j F F P
State: C 0 Zip C,odc: 812 5 2
Telephone Number: L 719 )- 7 8 3- 2 0 5 6
Fax Number: (719 1- 783-0156
PERMITTI23G CONTACC (if different from applicanUaperamrgbove)
Contact's blame: Tirle:
Compatty Name:

StreebP.O. Box: P.O. Box:
City:

State: Zip Code:
Telephone Number. ( ) -

Fax Ntmiber: ( 1-
INSPF,CTION CONTACT
• Contact's Name: Title:
Cottzpany Name:

StreetJP.O. Box: P.O. Box:
City:

Statc: Zip Code:
Telephone Ntmtber. ( 1-

Fax Number ( 1-

~C: STATE OR FEDERAL LANDOWNER (if aovl
Age~y:

Street

City:
_
State: lip Code:
Telephone Number: {_ 1-

CC: STATE OR FEDERAL LANDO~i`NER {if anv)
Agency:

Street•

City:

Stale: Z.ip Code:
Telephone Number: ( ) -
• ,_Y____ ____