2010-09-10_PERMIT FILE - M2010062

• Permit No: M2010062
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/10/2010
• Doc Name: New 112c Appl
• From: White Sand & Gravel, LLC
• To: DRMS
• Media Type: D
• Archive: No

-3-
11.
APPLICAN /OPERATOR (name, ate, and phone of name to be used on permit)
Contac fs Name: Tin tloft Title: manager
Company Name: White Sand S Gravel, LLC
Street/P.O. Box: 7 N St Road P.O. Box. Box 806
City: Smart
State: Kansas Zip Code. 67950
Telephone Number. (620 ) - 5449353
Fax Number. ( -
III MWG MM&a (if different from applicanVopeMm above)
Contact's Name: Same as above Title:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number. ( ) -
Fax Number
Contact's Name:
Company Name:
StreeVP.O. Box:
City:
State:
Telephone Number. ( j -
Fax Number: ( ) -
CC: STATE OR. FEDERAL LANDOWNER (if nm
Agency:
Street:
City:
State:
P.O. Box:
Zip Code:
Same as above Title:
P.O. Box:
Zip Code:
Zip Code:
Telephone Number: ( ) -
M STATE OR FEDERAL LANDOWNER (i any)
Agency:
Street
City:
State: Zip Code:
Telephone Number ( j -