2015-03-16_REVISION - M2000046

• Permit No: M2000046
• IBM Index Class Name: REVISION
• Doc Date: 3/16/2015
• Doc Name: Notices - Receipt of Application CN01
• From: DRMS
• To: Various
• Type & Sequence: CN1
• Email Name: TC1
• Media Type: D
• Archive: No

-3-
l 1. Correspondence information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contacts Name: IM AUsbiIIII
Title: Vice President
Company Name:
Pioneer Sand Company Inc.
Streerrn.O. Box:
5000 Northpark Drive
P.O. Box: 7650
city:
Colorado Springs
State:
Colorado
Zip code: 80933
Telephone Number:
(719 )-599-8100
Fax Number;
( 719 1-599-7509
PERNffrrING CONTACT
(if different from applicant/operator above)
Contact's Name:
Angela Bellantoni
Tide: Consultant
Company Name:
Environmental Altematives Inca
Street/P.O. Box:
1107 Main Street
P.O. Box:
City:
Canon City
State:
Colorado
Zip Code: 81212
Telephone Number:
(719 3-275-8951
Fax Number.
(719 1-275-1715
INSPECTION CONTACT
Contacts Name:
Mike Ausbum
Tide: Vice President
Company Name:
Pioneer Sand Company Inc.
Street/P.O. Box:
5000 Nor hpark Drive
P.O. Box: 7650
City:
Colorado Springs
State:
Colorado
Zip Code: 80933
Telephone Number.
( 719 ) _ 599 -8100
Fax Number:
(719 ) _ 599 -7509
CC: STATE OR FEDERAL LANDOWNERLif anv)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number.
( ) -
CQ STATE OR FEDERAL LANDOWNER if Mn
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
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