2001-05-08_PERMIT FILE - M2001054 ‎(12)‎

• Permit No: M2001054
• IBM Index Class Name: Permit File
• Doc Date: 5/8/2001
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

3-
14. Correa~ondentt information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)

Contacts Name: F...e~.. 1. ol,.~ Title:_p.pner
Company Name: ~riLV n\oell Cons ~c,.~{-ion
Strce[: 1'1 t~ t 7 9 6 A) . Me..~ 5 ~~•t~ ~ 1~ ~ . ~ey 1412
City: }{'J l]~rn~
Stale: C e V o rsd a Zip Code: 81~-1Z}
Telephone Nwnber: (q 3 0 ) - 32 5 - 4 67 y
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above) .
Contacts Name: ~,r.o.,n K. '8~,,,..t Title:~ivs.a.,n~'
C l/ Company Name: A.rr~er~car~ tl~,m..._ E- ~av,s..l-~~.,e ~Snc.
/l Street: .~1~0 7i-~ ~~r _ X1.0, lei X38
City:
srare7
Telephone Ntmmber:
Fmt Number:
~..~
(',\~ r~ n Zip code: R It12'~
( q}O )- 37,5-43°70
( 9~0 )- 3z5 - 0620
INSPECTION CONTACT
Contacts Name:
Compatry Name:
Street:
Title: O~ n e l-
l-}9b tJ. Ma.., Saree~
City: d ~.rav
State: ~\or~e Zip Cade: gty2~-
TelephoneNumber: (Q~b )- 325.4b~y r Cell ~~D~ ~2q-1823
Fax Number: ( ) -
CC STATE OR FIDERAL LANDOWNER (if anv)
Agency:
Street:
City:
Slate:
Telephone Nttmber: ( ) -
CC: STATE OR FEDERAL LA WNER (' env)
Agrncy:
Street:
Citv:
State:
Zip Code:
Zip Cade:
Telephone Number: ( ) -