PERMFILE133154

• Permit No: M2003073
• IBM Index Class Name: Permit File
• Doc Date: 9/15/2003
• Doc Name: Permit Application
• From: Moffat Limestone Co Inc
• To: DMG
• Media Type: D
• Archive: No

- 3 -
14. Correanondence Information:
APPLICANTfOPERATOR {nmme, address, and phone of name to be used w permit)
CoatacYs Name: ~A R rz~L l . S T'~ e L. e
Company Name: MO FI- 1~ T ~ 1 M e $7-ONz°
StreeUP.O. Box: ~2 20 7 /a. S. yD
t~,2e5 ic`~ni~
P.O. Box:
cny: I R e L L ry/,/ ~7 I
State: ~~ ~ R ~ ~ Zip Code: D ~ t~ 7 ~/
TelephoneNmmber: f 97~ 1- ~ 7~ - 3 ~ ~S
Fax Number: ( ~ 70 1- .2 7~ - / ~~-~
PERMITTING CONTACT (if di[Yeteni from apphcmtdoperator above)
ContacCsName: S~ M e ~ S Above T;~:
Company Name:
StreeUP.O. Box:
City:
State:
.O. Box:
Zip Code:
Telephone Number. (_ 1-
Fax Nnmber: ( 1-
Contacts Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Nmmber:
Fax Number:
Agency:
Street:
City:
State:
Telephone Nmmber:
Agency:
Street:
City:
State:
S A M e /-~ s /~ bD ve T-ttle:
P.O. Box:
Zip Cade:
Zip Code:
Zip
Telephone Number. ( 1-