FOUNTAIN CONSTRUCTION TRANSMITTAL

COMPANY, INC.
Mailing Ptidress Otilce ship to address
P0 Box 10506 5655 Huiy18 Souh No: 13
Job: 213063
Jackson, MS 39289 Jackson, MS 39209 SCHOOL OF MEDICINE - UTILITIES
Tel 601-373-4162 Fax GOl -3734300

RE: DEQ Notice of Construction Commencement

TRANSMITTED FOR DATE DELIVERED VIA

Approval 12/2012013 MAIL- USPS

TO FROM

ChiefEnviromental Permits Div Brad Fountain

MISS. DEPT. OF ENVIRONMENTAL FOUNTAIN CONSTRUCTION CO.,INC.
Office of Pollution Conl P.O. BOX 10506
P. 0. BOX 2261
JACKSON MS 39225 JACKSON MS 39289-0506

CC COMPANY NAME CONTACT NAME COPIES

UNIVERSITY HOSPITALS & CLINICS Bryan Walker 1
UNIVERSITY HOSPITALS & CLINICS Construction 1
UNIVERSITY HOSPITALS & CLINICS Ron Home 1
Cooke Douglas Farm Lemon Parker Reece 1
ITEM QUANTITY SOURCE DESCRIPTION STATUS
1 1 Notice of Construction Commencement

REMARKS

RECEI VED
DEC
Dept of Envfronmenta,
Quality -

Signature Printed Name Signed Date

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