PERMFILE115254

• Permit No: M1998011
• IBM Index Class Name: Permit File
• Doc Date: 2/19/1998
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

•
-3-
14. Corresaondence Information:
APPLICANT/OPERATOR (name
, a
ddress, and ph
one of name to be used on
permit)

Contact's Name: p
//
/V OOC~~ A /
,L UC
t~-U T
itle: /n~
`OLi~a 7(.. ~~//
/'~G~l/1(Y'
Company Name: ~C AJ /9/li ~+,c t /
~G4 ~ ( Guu r ~ /~ ~
street: x700 ~_ ~
.~ ,s7~ /Pao~ ~~` /
City: /
_ ~ini'~.oc1
State: ~o~Ora o/ U Zip code: ~ IOg~
Telephone Number: 17 / 5 ) - 8 ~~ 1~'~~
Fax Number: l 7/ Gi ) - 8 y~ - ~ ~Fi o
PERNZTTING CONTACT (if different from applicant/operator above)
Individual's Name: Title:
Company Name:
Street:
City:
State: Zip Code'
Telephone Number: J ) -
Fax Number: 1 ) -
~~ IRSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Telephone Number: j ) - _
Fax Number: ( ) - _
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
state:
Telephone Number: ( ) - _
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State:
Telephone Number:
Zip Code:
Zip Code: