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-3- <br />11. Correspondence Information: <br />APPLICANT/OPERATOR <br />(name, address, and phone of name to be used on permit) <br />Gerald KOnrw* <br />Contact's Name: <br />Title: <br />Company Name: <br />Korinek Sand and Gravel <br />Street/P.O. Box: <br />640 Lane 15 <br />P.O. Box: <br />City: <br />Manzanola <br />State: <br />CO <br />Zip Code: 81058 <br />Telephone Number: <br />( 719 _ 469 -6510 <br />Fax Number: <br />A <br />G -)-.391 — 914 4 � <br />PERMITTING CONTACT <br />(if different from 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 />Telephone Number: <br />( ) <br />Fax Number: <br />( - <br />INSPECTION CONTACT <br />Contact's Name: <br />Gerald Korinek <br />Title: CUNt"e - �F'fre.�1Zl�P <br />Company Name: <br />Korinek Sand and Gravel <br />Street/P.O. Box: <br />640 Lane 15 <br />P.O. Box: <br />City: <br />Manzanola <br />State: <br />co <br />Zip Code: 81058 <br />Telephone Number: <br />( 719 _ 469-- <br />Fax Number. <br />�6p510 <br />( ) - 3 ,i 4 --' 7 /� <br />` 14 <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />( 1- <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Telephone Number: <br />1- <br />