PERMFILE120461

• Permit No: M1997064
• IBM Index Class Name: Permit File
• Doc Date: 7/21/1997
• Doc Name: CONSTRUCTION MATERALS LIMITED IMPACT OPERATIONS RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-3-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: ~il~i~m Y-1"~C`~~ Title:~~1'(1Q.'("
Company Name:
~ Street:
City:
State:
Telephone Number:
Fax Number:
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Title:
Company Name
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT ~

Individual' s Name: \ r
~' ~ )Qm ~
. V P_5~"d~
Company Name : `
`
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Street: ~I~ ~1~ ~ ~A1~f11.1
City : c
i
- ~(~
1C
W
State: /
~
,~
1
l 'E~f~f)T-uG1~
e: ~I O~o1~D
Zip Co
d

Telephone Number: L1~,~~
1
_
`'
( ~ I g ) - X09 - t"S2^`[_Ti ~It )Y)'l°1~ • L~ I9) ~~~1'~~~
Fax Number: ( ) -
Agency:
Street:
City:
State:
Telephone Number : ( ~b~ ) - ~~n -~I SU F X ~". 31 In
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
Zip Code:
( '719 ) - ,~1„q - ~_C~--I F•Irme : [ rJ I4~ '7Ry - to C1'~