PERMFILE122188

• Permit No: M1978314
• IBM Index Class Name: Permit File
• Doc Name: LIMITED IMPACT & SPECIAL 10-DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

NOTICE PROCEDUfiES
After the application has been filed with the Division, notice pro-
cedures outlined in Sectiott 3.2 or 4.2 (whichever is applicable) must be
followed.

ADDZTIONAL I;IFOR*tATION
This apace can be referenced for further information of any of the items
on this form,.
To the best of my kncwledge, all the infcrmation presented in this application
is true and correct.
Title:/~,.c~tf l'..-.~--X29 ~''c~?-»-r,2
(Signed by individual legallq authorized
to bind the operator to this application}