PERMFILE126037

• Permit No: M2005045
• IBM Index Class Name: Permit File
• Doc Date: 6/15/2005
• Doc Name: construction materials
• From: gravel llc
• To: dmg
• Media Type: D
• Archive: No

-3-
14. Correauaotience Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Nmme: ~ ~f-f' ~v /~ ^~ ~1 a y1 Title: M2 /\ ~X`
compa~Name: iaara~rel ~ LLG
Street/P.O. Box: q-'7 Pi h /1T_c_l e V ~ e ~ ~ / . P.O. Box:
City: 17.1 V' ~ h A t]
State: GO l o r z~ D Zip Code: S 13 O I
Telephone Number: { 9 70 1- 259 - 4C~5R
Fax Number. { °J70 ) - 259 - (~ 2 S 1
QTTING CONTACT (if di$'erent from applicanUoperator above)
Contact's Name: I~/19i-}' Cc lrV~2~1~/1 Title:
Compaq Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fex Number.
Contacts Name:
Compaq Name:
Street/P.O. Box:
City:
State:
P.O. Box: I ~ S I
Zip Code: rrS 1122
~~2rn~ (3.5 Zbb~lL' 1 Title:
Telephone Number: { ~ _
Fax Number: L 1-
P.O. Box:
Zip Cade:
CC: STATE OR FEDERAL LANDOWNER (if any,)
Street:
City:
State:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER (if any]
Agency: _~(~d
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
Code:
r ~7y ~_ 759 - 54-b3