2014-06-06_REVISION - M2000014

• Permit No: M2000014
• IBM Index Class Name: Revision
• Doc Date: 6/6/2014
• Doc Name: Conversion Amended Application and Adequacy Review
• From: Grand Gravel Pit, LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: PSH
• Email Name: TAK
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: ieY Caqwreer Title:
Company Name: Grand Gravel Pit, LLC
Street/P.O.Box: 2 County Road 2 P.O.Box:
City: Kremmling
State: Co Zip Code: 80459
Telephone Number: (970 )_ 531-0295
Fax Number: ( )-
PERMITTING CONTACT (if different from applicant/operator above)
Contacts Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: i )Fax Number: ( )-
INSPECTION CONTACT
Contacts Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: f )Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: )-