2013-11-22_REVISION - M2000014 ‎(7)‎

• Permit No: M2000014
• IBM Index Class Name: REVISION
• Doc Date: 11/22/2013
• Doc Name: Conversion Application
• From: Grand Gravel Pit, LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: PSH
• Email Name: TAK
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: ` e" Carpenter
Company Name: Grand Gravel Pit, LLC
Street/P.O. Box: 2 County Road 2
City: Kremmling
State: CO
Telephone Number: ( 970 ) _ 531 -0295
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: ( ) Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: ( ) Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
Title: Owner
P.O. Box:
Zip Code: 80459
Title:
P.O. Box:
Zip Code:
Title:
P.O. Box:
Zip Code:
Zip Code:
Zip Code: