PERMFILE126519

• Permit No: M2001001
• IBM Index Class Name: Permit File
• Doc Date: 3/21/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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14. Corrcapondence Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: C•~ U i _ Title: Ma.l'k3C1Px-
CtnnpanyName: ~OU~(' S~'~'PS ~~Y`FC1,E1.'~'eS ~.
Street: PO 'gaX ~ 5(o a
City:
State:
TelcphoneNttmber: Z~ - X05' '
Fax Number: rG ~ 0 1- S(O=J
PERMITTING CONTACT (if difif~e~rent from applicandoperator above) ,
Contact's Name: Ndi Ra+/~ Q~, T~.rt~ i PEi C~~ Title:GnVtfopw~L~n~~ ~0\V12u~-
Company Name: KBc~.Y'r/t'cS 1 Lenz. & Se.ck~ri a PG
Str«t: PO C~eY cg~
city: ~'nr-4~z11
Stater C'A~.O'f'e~iCio Zip Code: g~~2~ - t~B$
Telephone Number. (9TH )- rJCo~-1~~~ or' ~CpOS~ -12.~ ^~JCJ~
Fax Number: (~ l- ~~~-'ZD2S G'Mal1;SD~-lbex{y~~~^.b~~C9~t'(1
INSPECTION CONTACT SaYV12 at; (~~~,~,~~,~-~- `~j/t3{?vr
Contact's Name: Title:
Company Name:
Street:
City:
State:
a
zip cede: 8l3 Zl -15~ B
C-mai~l•. Anaol
Zip Cade:
Telephone Number: (_-~ -
Fax Number: ~1-
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ~_) -
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
$tatt:
Tclephone Number.
Zip Code: