2008-03-12_PERMIT FILE - M2008013

• Permit No: M2008013
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/12/2008
• Doc Name: New 110c Appl.
• From: Riverside Aggregates, LLC
• To: DRMS
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT/OPERATOR (iuu~, address, and phone of name to be used on permit}
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Title:
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s Name: I
Contact _
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Company Name: ~t ~ ~ l ~ r~~~.~ ~'S 1- ~-C' --
StreetJP.O. Box: ~~ ~C) [~ ~ n~ ~ P.O. Box:
City: ~~~~r
State: lip Code _ ~ I ~ ~~
Telephone Number: ( '~ (q. 1- 3 3 ~ ^ ~ ~ (O I
Fax Number: `l l - ~ ~ (o - ~ 3 (P ( ______
PER~t1'T"I`ING CONTACT' (if different from applicant/operator above)
Contact's Name: .~ O~(Y~~ o`S a~d f ~- Title:
Company Name:
StreetlP.O. Box: P.O. Box:
City:
State: Zip Code:
'Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: ~ wM~ ~ ~~f ~ e- Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: 7.,ip Code: ____._
Telephone Number: ( ) -
Fax Number: ( l -
CC: STATE OR FEDERAL LANDOWNER (if anv)
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Street: - -- --
City: _______..._~.....____ -_-__..-.~----___.____..~.. ~__....___.___._.____.__._._____ _-.._____..
State: .._..._ .____...~ _ ____._ ____M__.__ _. Zip Code: _ ___.._.... _
Telephone Number: (...,,,_.... ._...) - ___...........~......._._......___._._._.__ __ ~,_...._.._._.._............_ ............._...__
CC: STr1TE OR FEDERAL LANDOWNER (if anyl
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Agency: _ ~ n L. ~
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City: -_~__.__~._._._.__.
State: _~ ____~.-~.____.__ _ Zip Code: ____
Telephone Number: (_,__,_.,__ ~ - __ _....._. --- ---------