2003-04-30_PERMIT FILE - M2003030

• Permit No: M2003030
• IBM Index Class Name: Permit File
• Doc Date: 4/30/2003
• Doc Name: Completeness
• From: Joesph Dorris
• To: DMG
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANT/OPERATOR~(n-ame, address, and phone of name to be used on permit}:
Contact's Name: ~S~p/, L ~Jo.^~ < Title: ~i~°-~~~D~
Company Name: i ~ i in
Street: ~ 9 Zo ce~d/' f/~s
city: ~~!'a/~'[r1.o S. P~ s
state: ~ q/arG1~.~ zip Code: -~9D~
Telephone Number: (r// 9 1 - ~ gs` ye/~/~'
Fax Number: ( ) - P-H~ i c. !' ~r i 1 . ~"?t
PERIYIITFING CONTACT (if different from applicant/operato above):
Individual's Name: Title:
Company Name:
Street:
City:
State: Zip Code:
Telephone Number: ~~ -
Fax Number: ( ) -
INSPECTION CONTAC'IL
Individual's Name: .~S~ti ~ - or Scofk /, . 17of/~5 Title:
Compaq Name:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATE OR FEDERAL. LANDOWNER (if any):
~~~y. ~~ aF'Cr ~-'cJlf~ ' U,S. FwrSl-SQrJ~ce.' SDil IAA ~~Sl(.
spreet: 3M 2 / 9 ~a rf it>y ~ z~5
city: Fa ' r ra N ~~pp
State: C~ltif~d~ zip Code: ~07'~C~
Telephone Number: (~/ 9 ) - S /?~ - <? c7 ~ /
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency:
Stree[:
City:
State: Zip Cade:
Telephone Number: ( ) -