PERMFILE121329

• Permit No: M1997039
• IBM Index Class Name: Permit File
• Doc Date: 5/30/1997
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-3-

14. Corresaondence Information:
APPLICANT/OPERATOR (name, address, and ~p~hlone of name to be used on permit)
Contact' a Name: rI/'AiPlJ F LMVY.47nT Title: PiP~S/OE,vT
Company Name: ~l/i9-7T ~IJ/ /~/i3 /'17.
Street: ~~ /h9~PRiSON ~i7"
City: 1.(/ftNJ6.~
State: CDLDR,ooO^ Zip code: ~~y~
Telephone Number: 1 q9-~ 1 - ~r~ 3 - yy7~
Fax Nvmber: ( 97~ 1 - 7a~'3 - `~c~o2
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: .Si}/I7F. F)5 A./3iDUF Title:
Company Name:
Street:
City:
State: Zip Code:
Telephone Number: ( 1 -
Fax Number: ( l -
individual • s Name: SA/hE /~S .4RD[/E
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
Agency:
Street:
City:
State:
Telephone Number:
Agency:
Street:
City:
State:
Telephone Number:
Zip Code:
Zip Code:
Zip Code: