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Permit Notification Request- (Long List: New Applications, Amendments, and Conversions) <br />Permit ID: ;M1992016 r /\lYl <br />Permit Specialist: TC1 <br />Permittee Name: Rocky Mountain Materials & Asphalt, Inc. <br />Site Name: jPenrose Ranch's <br />Permitting Action: Amendment <br />bl Request Date: "3/12/2014 t <br />County Name: Fremont <br />Attach Application Form PDF, Exhibit A and Index Map (you don't need to use them all). <br />Permittee Name: ✓ Rocky Mountain Materials & Asphalt, Inc. <br />Permittee Address 1: 1910 Rand Avenue <br />Permittee Address 2: <br />City: Colorado Springs ; State: 5 CO & Zip Code: a 81025 <br />Lf County Planning Dept/ County Commissioners <br />EN Soil Conservation District: 'Fremont <br />❑ Municipalities Within 2 Miles of site: <br />None r <br />L$( Army Corp of Engineers: Southern Colorado <br />LN CPW: SE <br />❑ Urban Drainage (only applicable if site is within 100year floodplain in Adams, Arapahoe, Boulder, Denver, Douglas or <br />Jefferson Counties) <br />❑ Bureau of Land Management (CD of Complete Application if on BLM land) <br />❑ US Forest Service (CD of Complete Application if on Forest Service Land) <br />CDPHEAir and Water QLwdity Offices, OSE Water Resources Division, Colorado StgiE Land Board, and Coloradp- Historical <br />Society are all notified by the Administrative Assistants as part of the standard procedure. <br />F \PROJECTS xlsx \\ Notices - Long List <br />