2013-09-11_REVISION - M1999033 ‎(6)‎

• Permit No: M1999033
• IBM Index Class Name: REVISION
• Doc Date: 9/11/2013
• Doc Name: New Amendment
• From: Fremont County
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR
(name, address, and phone of name to be used on permit)
Contact's Name:
Tony Adamic
Title: DOT Director
Company Name:
Fremont County Board of Commissioners
Street/P.O. Box:
1170 Red Canyon Road
P.O. Box:
City:
Canon City
State:
CO
Zip Code: 81212
Telephone Number:
1719 ) _ 275 -2047
Fax Number:
( 719 ) _ 275 -2120
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Tony Adamic
Title: DOT Director
Company Name:
Fremont County Board of Commissioners
Street/P.O. Box:
1170 Red Canyon Road
P.O. Box:
City:
Canon City
State:
CO
Zip Code: 81212
Telephone Number:
( 719 _ 275 -2047
Fax Number:
( 719 _ 275 -2120
INSPECTION CONTACT
Contact's Name:
Curtis Stone
Title: MSHA Supervisor
Company Name:
Fremont County Board of Commissioners
Street/P.O. Box:
1170 Red Canyon Road
P.O. Box:
City:
Canon City
State:
CO
Zip Code: 81212
Telephone Number:
( 719 ) _ 275 -2047
Fax Number:
( 719 _ 275 -2120
CC: STATE OR FEDERAL
LANDOWNER (if any
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -