PERMFILE131001

• Permit No: M2001035
• IBM Index Class Name: Permit File
• Doc Date: 3/29/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-+-
14. Correspondence Information:
//t~~~ APPLICANT/OPERATOR (namne, address, and p~hJOne~o~f name to be used on permit)
1) O Contact's Name: l IJARwES r5. N/i~~JDNV Tnli: Y'R6Si DFAJT
1_ f\ Company Name: 4C/~ l~a~~r~t~~~ t ~~
street: '70 z ~iac ~~ 1 lR1 f~ ~ i~ x J ,~~f
City: .~F.iA YIST14
State: (nOi.lJRH'n?J Zip Code: R I Z t 1
Telephone Number: t 7/9 1- .395-.4'79n
Fax Number: ('7i9 1- . ?~, - 3 794
PERMITTING CONTACT (if different from applicandoperator above)

n ~ Contact's Name: / M ~.PMFS((V I,
Title: l~~ ~-r MA,vACFo
lJ Company Name: L~ C/a h`~~n,.c r
c in/r'
o
Street: ~lJZ GI?EGG ///2i/E ~ n ~j ~}
~ !/G )C ~ rS i3 7
Ctty: .icwlA Ys TAT
Stater ~c.-,aarv~ Zip Code: f3/z//
Telephone Number: (7i 9 1- .345 - 3791
Fax Number: (7i9 ~ - ,395 - 3 /'''~~
INSPECTION CONTACT
~Li Contact's Name: ~i~sARtE_s MupT~i'f4
LL Title: riei'.SmENT
Compsny Name: . SArt c 1~s Qgn/c
Street:
City:
State: Zip Code:
Telephone Number: ~_~ -
Fax Number: ~~ -
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency:
Stteet:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ~_~ -