2011-07-14_PERMIT FILE - M2011038

• Permit No: M2011038
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/14/2011
• Doc Name: New 111c application
• From: K.W. Enterprises LLC
• To: DRMS
• Email Name: KAP
• Media Type: D
• Archive: No

15. Correspondence Information:
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APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: ; Title: (EP(
Company Name: k t -) e.i/ /i ?.' i S ,C L C
Street/P.O. Box: r f / So . S C,:fr- /‘ P.O. Box: c> S s
City: U iC' A O
State: ( 2 C> it A 00 Zip Code: /
Telephone Number: ( 976 ) - � -OSA5/
Fax Number: (7 70 ) - �-� S - 774
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: c f < /)r i,! J . I(),..f)_ � Title: >Ep
Company Name: 2 / C
Street/P.O. Box: // SO , k, y 'Cc (l r t; P.O. Box: ,Ro
City: Ai c�
State: ( , J K A no Zip Code:. / j p
Telephone Number: (Y71, ) - 5/7 -Ov8G
Fax Number: ( ''70 ) - 3g5
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )
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