Laserfiche WebLink
Latitude (N) _. (5 decimal places) <br />Longitude(W) (5 decimal places) <br />OR <br />Universal Transverse Mercator (UTM) <br />Example: 201336.3 E NAD27 Zone 13 <br />4398351.2N <br />UTM Datum (specify NAD27, NAD83 or WGS 84) NAD 83 Zone 13 <br />Easting <br />Northing <br />11. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: <br />Gary. Woodworth <br />Title: Chief Operations Officer <br />Company Name: <br />The Gallegos Corporation <br />Street/P.O. Box: <br />P.O. Box 821 <br />P.O. Box: <br />City: <br />Vail <br />State: <br />CO <br />Zip Code: 81658 <br />Telephone Number: <br />(970) 926 -3737 <br />Fax Number: <br />(970)926 -3727 <br />- <br />PERMTI" TING CONTACT <br />(if different from applicantloperator above) <br />Contact's Name: <br />William P Balaz Jr. <br />Title: Sr. Engineer <br />Company Name: <br />Tetra Tech Inc. <br />Street/P.O. Box: <br />825 North Crest Drive <br />P.O. Box: <br />City: <br />Grand Junction <br />State: <br />CO <br />Zip Code: 81506 <br />Telephone Number: <br />(970)986 -3566 <br />Fax Number: <br />(970) 241 -3120 <br />- <br />INSPECTION CONTACT <br />Contact's Name: <br />Frank Guiterrez <br />Title: President <br />Company Name: <br />The Gallegos Corporation <br />Street/P.O. Box: <br />P.O. Box 821 <br />P.O. Box: <br />City: <br />Vail <br />State: <br />CO <br />Zip Code: 81658 <br />Telephone Number: <br />(970) 524 -4322 x105 <br />Fax Number: <br />(970) 524 -9878 <br />- <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />d O0keof <br />ned <br />Mi land Rewadw Denver • Grand i� • AdWe and Inactive Mnes <br />