2014-02-24_PERMIT FILE - M2014008

• Permit No: M2014008
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/24/2014
• Doc Name: Construction materials regular operation reclamation permit application
• From: Washington County Road and Bridge District #3
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

-3-
11. Corresnondence Information:
APPLICANT /OPERATOR
(name, address, and phone of name to be used on permit)
Contact's Name:
Steve WMiarns
Title: Road Supervisor
Company Name:
Washington County Road and Bridge District #3
Street/P.O. Box:
11920 Co. Rd. CC
P.O. Box: 32
City:
Anton
State:
CO
Zip Code: 80801
Telephone Number:
( 970 _ 383 -2216 Cell 970 - 554 -0680
Fax Number:
( 970 ) _ 383 -2213
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Randy Schafer
Title: Consultant
Company Name:
Street/P.O. Box:
40586 Co. Rd. 21
P.O. Box:
City:
Haxtun
State:
CO
Zip Code: 80731
Telephone Number:
( 970 _ 774 -6264 (Home), 970 - 854 -3778 (Work), 970 - 520 -0502 (Cell)
Fax Number:
( 970 ) _ 854 -3811
INSPECTION CONTACT
Contact's Name:
Same as Operator
Title:
Company Name:
Street/P.O. Box:
P.O. Box:
City:
State:
Zip Code:
Telephone Number:
( )
Fax Number:
( ) -
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:
( ) -