2015-03-03_REVISION - M1997058

• Permit No: M1997058
• IBM Index Class Name: Revision
• Doc Date: 3/3/2015
• Doc Name: Notices SR04
• From: DRMS
• To: Various
• Type & Sequence: SR4
• Email Name: ECS
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of nature to be used on permit)
Contests Name- Jim McFarland
Company Name:
Street/P.O. Box:
City;
State:
Title: Division Manager
Hall -Irwin Corporation
301 Centennial Drive P.O. Box:
Milliken
CO
Telephone Number: 303 ) . 654 -1684 x7277
Fax Number: ( 970 ) _ 352 -6284
PERMITTING CONTACT (if different from applicant/operator above)
Contacts Name. Danna Ortiz
Company Nanx:
Street/P.O. Box:
City:
State:
Civil Resources
323 5th St.
Frederick
CO
Telephone Number: ( 303 ) _ 633 - 1416 x203
Fax Number: ( 303 ) _ 833 -2850
INSPECTION CONTACT
Contact's Name:
Company Name:
Stteet/P.O. Bo):
Jim McFarland
Zip Code: 80543
Title: Principal Planner
P.O. Box: 680
Zip Code:
Title: Division Manager
Hall -Irwin Corporation
301 Centennial Drive P.O. Box:
City, Milliken
State: CO
Telephone Number: ( 303 ) _ 654 -1684 x7277
Fax Number. 970 ) _ 352 -6284
CQ STATE OR FEDERAL LANDMER (if"
Agcy:
Street:
City:
State:
Telephone Nwnbw. [ l -
CC: S ,TATS OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Nutter.
Zip Code: 80543
Zip Code:
Zip Code: