PERMFILE122596

• Permit No: M2004025
• IBM Index Class Name: Permit File
• Doc Date: 4/13/2004
• Doc Name: 110c Appl.
• From: Oldcastle SW Group Inc. dba Four Corners Materials
• To: DMG
• Media Type: D
• Archive: No

-3-
14. Correanondence Iatorvution:
~APPLICANTlOPERATOR (name, ad/d~ress, and phonE of name to be used on permit)
ContacfsName: ,F)REA1T 1C.ERR Title: £~• ~~
CampanyName: ~LMAfTLF St,J (2919A t~ !~$~ 1>NL'I'1".D CO~iLA4Nls;S DF AAeSA C'DJATIY
StreetlP.O. Box: X17 ~ Ri Vc2 i~ A+~ _ P.O. Box: _~(,©9
c;tl,: ~ eantA ~'LrNc1r~ o~J
state: (~ Zip Code: g Ur0o2
Telephone Nmmber: c g7o , - ,?N 4 +~ 9
Fax Number: I ~~ 1- ~~ csq~{.~
PEIiMtfTINO CONTACT (if different from applicnnt/operator above)
ConUcfs Name:
Company Name:
Street/P.O. Box:
city:
stare:
Telephone Number:
Fax Nmmbet:
INSPECTION CONTACT
ContacCs Name:
Company Name:
StreeUP.O. Box:
ray:
state:
Telephone Number.
Fax Nmmber:
Title: /~?6NCiF3~G~
1/~' ~(~tbPiPi ~d1N G'O[l2a" P.O. Box:
A~,r~
~'~ zip code: ~©138
3~f~ b7 F~ _ - -
~~- 3v~ 643
BQENT_ f.(ERie Title: Er/V ~ ~MA~/c
A1y~lL<crE tuJ 6,e9r1Pr l~VG /1R4 11N/'r~X1 (~isU~lN/~r n~ M#A ~c~~fiY'
..222 Rl~tlErZ RDf~D P.o. Box: ~~T
C~iAn1i~ TuNCrtAn1
zip code: F5154,7
c ~7D i- ~W3 ~FY00
r 4?U t _ :~~t3 ~595E5
CC: STATE ORFIDERAL LANDOWNER (if am)
Agency: -~lA iJE
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (ff anvl
Agency: A ~~
Street:
Cily:
State:
Telephone Number: i 1-
Zip Code: