PERMFILE131047

• Permit No: M1996089
• IBM Index Class Name: Permit File
• Doc Date: 12/24/1996
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

• -3- •
14. Corresvondence Information:
APPLICANT/OPERATOR (name,,, address,/and phone of name to be used on permit)
Contact's Name: K Ehne'fH /L.S~A~4hct/ Title: P!: e'S! enT ~©4/i1l~l
Company Name: ~S/rC OG Jl,hO Ek4a VLa ~':~h~ .~h G.
street: //:s-h ,~..n ~ ~/-oa ~ w a. v
pity: /M n ff a ~-
State: !~ /~ JO {"0. ~ D^ Z'i/p Code: ~j t4 J /
Telephone Number: ! ~/ / 9 1 - 2 S/6' `7/ ,~/ ~ y/
Fax Number: ( 7 J 9 1 - ~.5 P7 - T 'i y
PERMITTING ODNTACT (if different from applicant/operator above).
Contact's Name:
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
Zip Code:
/<Phnerl~ L..Sko l~ Title:Pres.ile:,.-/ Gw.yert
///^^Ynn~l, (Gri.h.J ,~fFa clwa~/
/Y/ G7.7GL '*
!%~G/-cam e~t~ Zip Code: ~i~r /J ~3
! ~/9 ~ -:ash-y~y7
CCc STATE OR FEDERAL LANDOWNER !if anvl y~
Agency: ~.arf'QU G~ ~0.n~,~ /"10./1f?vrlE:i'1J~
Street: /9~/ Sta,7'e i4yG.
City:
state:
Telephone Number:
Zip Code: ~ // d /
r 7/9 i - SR q- ~f 97S
CC: STATE OR FEDERAL LANDOWNER !if anv)
Agency:
Street:
city:
State:
Telephone Number:
Zip Code: