2011-01-19_REVISION - M2009023

• Permit No: M2009023
• IBM Index Class Name: REVISION
• Doc Date: 1/19/2011
• Doc Name: Noties
• From: DRMS
• To: Various
• Type & Sequence: AR1
• Email Name: KAP
• Media Type: D
• Archive: No

-3-
1 It. Carrmondence Information:
APPLICANT/OPERATOR (name, addrew, and phone of name to be used on pemut)
Contacts Name: , l -A. ± p 4, !e. k,1 tr o M Title: Fn S i zte I^
Company Nam: -igd- 4 k e- U,S• tf L_r i o i l !,9 e.s t jrzd k? ,nt'n. D, is ilrl's t
streatlP.O. Box: 2,2 ?11 !9 oe o ,af f7 P.O. Box: „ &40
City: z-,f f? I L?- G -4
State: 6o A,, -2& zip Co&.. X 13 A !
Telephone Number:
?C /)
L 9X70 , • X d- 5 - 900
3
Fax Number: _ 9 90 I - Se, .S" - D / 8 0
PF.RM=G gDMA (if different from applieaWopero"r above)
Contacts Name: r a ?'? 14 S r m ++a Title:
Company Name; SGT '160w
Stmet(P.O. Box: P.O. Box:
City.
State: Zip Code:
Tetepbome Number: ( ) -
Fax Number: L 1-
iNSPECTi N CONTACT
Contacts Name: e- k,j 'ACm: Title•
Company Name:
ALo u
$ewe
StraedP.O. Box: P.O. Box:
City:
State: Zip Code:
Telepbone Number: L ) -
Fax Number: ( 1-
CC: CTA _ OA F E LANDOWNER (if env)
Agency:
Smog:
City: _
State: Zip Code:
Telepbooe Number: ( ) -
C_ STATE OR FEDERAL LAN DOM-N M (if am]
Agency:
Street:
City:
State: Zip Code:
Tatepbone Number. ( 1-