PERMFILE128639

• Permit No: M2004008
• IBM Index Class Name: Permit File
• Doc Date: 1/30/2004
• Doc Name: First Submittal of the Application
• From: Joseph Curtis Harden
• To: DMG
• Media Type: D
• Archive: No

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9. Correspondence Information:
~~•`-~AFYLiCANT/OPERATOR (name, address, a~ phone of name to be aced on permit}:
Contact's Name: T o s f P N t ~ it 7 i l N h R JJ L /~ Title: d 4..c. R X /6I~KK/iT o K
Company Name:
street: 6 4 0] P.9 PP !r q T 3 7.
City: _ A R V /1 b A
State: cote, /~ lA p o ~P Code: 8 o O O'^/
Telephone N®ber: (3 0 7 )- 5/ Z tl -~ 9 Z Z
Fax Number: ( N ~A ) - N ~iJ
t1VII7TING CONTACT (d'dilfe:ent from applicam/opaator above}:
Individual's Name: J•i1. M R .q J /~ /3 o V ~ Tide:
Company Name:

Street:
~9~
State:
0
Telephone Number: (~ e ~ ) - ~s~ =_?'Z~' ~ o O~ Mr in.+s xx
Fax Number. ( p~~It ) -
INSPECTION CONTACT:
Individnal'sName: S.9 ir., ,g q~ g OV6 Trtle:
Company Name:
Street:
City:
State:
Telepho~ Number:
Fax Number.
~:
CC• STATE OR FEDERALLANDOWNER ('d'eny):
•Agency: FF b d y! N t M /.w / .<. G , ~ C Al / 7N /loll T /Y k Y R .o /t!~ ~/.v G
sneer: rld~+a ~,r ,oaov~ owHRn ccpiM
City: _ ~.d /d o S NR I N G J C o_
State: C o t o JQ q G o Zip Cock: rY C9 `/ S Z
Telephone Number: (3 e 3 )- s 6 7- z~ s 9
CC: STATE OR FIDERAL LANDOWNER (if any):
Agency: f ,tl l~n rt d J Q Q Gy rt
Street:
City.
State:
Telephone Number: ( ) -
.Tap Code: