2013-08-12_PERMIT FILE - M2013040

• Permit No: M2013040
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/12/2013
• Doc Name: New Application
• From: Richard Fretterd
• To: DRMS
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit):
Contact's Name: jZ ; c h and FY eitt'erd Title: 0 wyner I D pe'✓ccfo r
Company Name:
Street: I 0 & 5 WooAt lwnJ Ave. �& P.O. Box:
City: W o o d lm-^A TGI.Y k
State: C b 10 Y0.da Zip Code: 'SO 8 (0:3
Telephone Number: L // o S '7' 0 (a 7/
Fax Number: ( Z -
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: Title:
Company Name:
Street:
P.O. Box:
City:
State:
Zip Code:
Telephone Number: L
Fax Number: ( Z -
INSPECTION CONTACT:
Contact's Name: S 4.m e— 0. S 0. 6 0 ti/e.
Title:
Company Name:
Street:
P.O. Box:
City:
State:
Zip Code:
Telephone Number: ( )
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency: U S PA FdYGSt SL° YV/ Ge— SayflL�ctrk'Ra.Y►oer��sfrici'
Street: 32.0 H i Q h wa-V A 4 5
City: Fa, r p I pw
State: C.. o lwy0. d o
Zip Code: O
Telephone Number: ( 7/? )- 93(P-2031
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: