MDE e-Permits

Logged in as: [Name]
Permit Number: 13CH0023

Confirm Transfer

Review the Permit information below. If you accept the transfer, check the box and then click ‘Continue’ at the bottom of the page.

Permit/Transferor Information

Permit Type: General

Transferor (Permittee)

Name: Cindy Pantalone

Address: 1800 Washington Boulevard, Baltimore, Maryland 21230

Mailing Address: 1800 Washington Boulevard, Baltimore, Maryland 21230

Phone: (429) 123-2938

Email: cindy.pantalone@email.com

Contact Person

Name: Philip Lee

Phone: (429) 678-6366

Email: philip.lee@email.com

Site Information

Site/Project Name: Tower Bar

Location Description:Near Baltimore

Address: 234 E Street, Baltimore, Maryland 21401

County: Baltimore City

Site Coordinates (N, W): 39.75’, -42.70’

Total Site Area: 65.00 acres

Total Disturbed Area: 6.00 acres

Site Contact Person

Name: Bruce Taylor

Phone: (646) 545-6456

Email: bruce.taylor@email.com

Transferee Information

Transfer Type: Transferring Acreage to Transferee

Name: Roberto Lasquez

Email: roberto.lasquez@email.gov

Date: 6/25/2014 1:32:07 PM

Accept Transfer
By checking this box, I acknowledge that this transfer is correct. I accept this transfer.