PERMFILE125174

• Permit No: M1997026
• IBM Index Class Name: Permit File
• Doc Date: 4/22/1997
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 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: .~C:~TT T70~1)ER Title: ./KkNA~E)2
Company Name: ~ ~{'~,'/}V/}TJA~~p _ /NC,
Z7t
Street: p
P ~~ ARAli9EQ 2`~q
City: IJA-I~L
state: e-~ zip Code: Fi'I CJ Jrd
Telephone Number: ( ~7~ ) - 90'~ c33)~
Fax Number: ( 97a ) - 9a.6 ,~.~9N y
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: ~R~ ~.E'~t11(.1C( Title: P/Z(n)GIpOf~L.
Company Name: /
CJIQEfo ~E(,c91CIC~ -F ItS5F~^lR'f 5S
Street: ~10~{.5 C'~2'T /~L9eF- S!y/TE,~
City: ~~`NVEi _
State: CD Zip Code: ~~~0`2
Telephone Number: ( ~~Q~ ) - ~ 29 Q~~~~
Fax Number: ( .~~ ) - 6a9 g~~5
INSPECTION CONTACT

Contact's Name: `,
~SCA7"T ~ppVE~ Title: ,~/
/L{fJ,vfF6E,~
Company Name: B't ~ ~G/11/,Ip/1/rp ~ /AJG.
Street: /~~. D~2AwEp ~,g~9
City: Uh-[!~
State: ~ Zip Code: g/G~S~
Telephone Number: ( 9?© ) - Q~ 33/~
Fax Number: ( ~7~ > - 4a6 a.35~Y
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency : ~B
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency : N B N E
Street:
City:
State: Zip Code:
Telephone Number