2008-03-25_PERMIT FILE - M2008017

• Permit No: M2008017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/25/2008
• Doc Name: 112 Operation Reclamation Permit Application ‎(part 1)‎
• From: Broken Arrow Investments, LLC
• To: DRMS
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and
Contact's Name:
Company Name:
StreeVP.O. Box:
-3-
of name to be used on permit)
Title: ewwl4e 6 .
City:
??``Ee?
State: Zip Code: 663/
'T'elephone Number: L972
Fax Number: &(a
PERMITTING CONTACT (if different from above)
Contact's Name: U e- Title:
Company Name: ?J?% 6AWI--T/i116 ??. 1.,V6
Street?.O. Box: /?. JiC.z"? Rz P.O. Box:
City;
IIJ?STJY>/?S7f?'G/e
State: G'D Zip Code: &DU..fP
Telephone Number: ?b3 -S7- a 73/5 _?
Fax Number:
E INSPECTION CONTACT /
Contact's Name: Title: [] 11A&[f?'J?4?(1
Company Name:
Street`P.O. Box: I/ L 9 ,?j7"' U?/e1?E P.O. Box:
City: 6ez'e 1•f I
State: CD Zip Code:
Telephone Number: L9 7-02 - -5"96 -12066 _
Fax Number: - zJV
w - &- 9 73
CC: STATE OR FEDERAL LANDOWNF.,[t if an
Agency: --
Street:
City:
State-
P.O. Box:
Zip Code:
Telephone Number: [ Y_ -------__ -- -
•
C"C:STATFF,_ R FEDERAL LANDOWNER if any)
Agency: ??,1?? __ ?- -- ?_______?__
Street:
City:
State:
Telephone Number:
Zip Code: