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2013-08-27_PERMIT FILE - M2013056
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2013-08-27_PERMIT FILE - M2013056
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Last modified
8/24/2016 5:24:24 PM
Creation date
8/28/2013 7:48:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013056
IBM Index Class Name
PERMIT FILE
Doc Date
8/27/2013
Doc Name
New 110(2) Application
From
Richard Fretterd
To
DRMS
Media Type
D
Archive
No
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-2- <br />9. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone permit): <br />e of name to be used on peit): <br />Contact's Name: 77R-,'r I&tL FY <br />'VYI e-t-1 ne cyd Title: OWA)Vr l��Yi7 O'3� <br />Company Name: <br />// ^' <br />Street: D (o S WDDr� �.c;�v►c1 Aoe- itp <br />P.O. Box: <br />City: 0n,A Y" Pay k <br />State: C.. © LC, Na'd b <br />Zip Code: <br />Telephone Number: 7/9 <br />Fax Number: ( ) - <br />PERMITTING CONTACT (if different from applicant/operator above): <br />Contact's Name: <br />Title: <br />Company Name: <br />Street: <br />P.O. Box: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: ( Z <br />Fax Number: ( - <br />INSPECTION CONTACT: <br />Contact's Name: �90-- 11 Qi Q S "0V t? Title: <br />Company Name: <br />Street: P.O. Box: <br />City: <br />State: Zip Code: <br />Telephone Number: ( ) Fax Number: Z - <br />CC: STATE OR FEDERAL LANDOWNER (if any): /�,L <br />Agency: U S D A �D'Ye 5 t- SeY ✓lGe,- SC71177'1 Ayk-,? Y146Y.1�i. i- <br />Street: 3 Z k) A,Y 2 S <br />City: rQ t;y- Ptc &.4 <br />State: <br />Lii <br />Telephone Number: ( 7/9 ) - q 36a - 2o 31 <br />CC: STATE OR FEDERAL LANDOWNER (if any): <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number: <br />Zip Code: 7 d 'T <br />Zip Code: <br />
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