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.3- <br />i 1. C.+ Ispondem laftwatian: <br />(name, address, and phone of name to be used on permit) <br />ContwXs Name: <br />RudY TOM <br />Title: Member <br />Company Name: <br />Riverside Aggregates, LLC <br />Street/P.O. Box: <br />1750 County Road HH <br />P.O. Box: <br />City: <br />Lamar <br />State: <br />Colorado <br />Zip Code: 81052 <br />Telephone Number. <br />(719 ) _ 3,i6 -7361 <br />Fax Number. <br />( - <br />PERWTI7NG CO l <br />(if different fiom applicant/operator above) <br />Contact's Name: <br />Title: <br />Company Name: <br />Street/P.O. Box: <br />P.O. Box. <br />City: <br />State: <br />Zip Code: <br />Tdephone Number: <br />( ) <br />Fax Number: <br />( - <br />1NSPECTiON CONTACT <br />Contact's Name: <br />Rudy Tomes <br />Title: Member <br />Company Name: <br />Riverside Aggregates, LLC <br />Street/P.O. Box: <br />1750 County Road HH <br />P.O. Box: <br />City: <br />Lamar <br />state: <br />Cok ado <br />Zip Code: 81052 <br />Telephone Number: <br />X719 _336 -7361 <br />Fax Number: <br />L ) - <br />CC: MM OR FEDERAL <br />Agency: <br />Street: <br />LANDOWNER Of env) <br />City: <br />State: <br />Zip Code: <br />Telephone Number. <br />CC: �'. M OR F ,& <br />[ ) - <br />LANDOWER (if arrv) <br />Agency: <br />street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number. <br />( ) - <br />