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Title: President <br />P.O. Box: <br />Zip Code: 80538 <br />Title: President <br />P.O. Box: 18087 <br />Zip Code: 80308 <br />Title: President <br />P.O. Box: <br />Zip Code: 80538 <br />Zip Code: <br />Zip Code: <br />-3- <br />11. Correspondence Information: <br />APPLICANT/OPERATOR <br />(name, address, and phone of name to be used on permit) <br />Contact's Name: <br />Ken Court <br />Company Name: <br />Coulson Excavating Company, Inc. <br />Street/P.O. Box: <br />1309 N. County Rd 13 <br />City: <br />Loveland <br />State: <br />Colorado <br />Telephone Number: <br />( 970 ) _ 667-2178 <br />Fax Number: <br />( 970 ) _ 667-2193 <br />PERMITTING CONTACT <br />(if different from applicant/operator above) <br />Contact's Name: <br />Peter Wayland <br />Company Name: <br />Weiland, Inc. <br />Street/P.O. Box: <br />City: <br />Boulder <br />State: <br />Colorado <br />Telephone Number: <br />( 303 ) _ 443-9521 <br />Fax Number: <br />( ) - <br />INSPECTION CONTACT <br />Contact's Name: <br />Ken Coulson <br />Company Name: <br />Coulson Excavating Company, Inc. <br />Street/P.O. Box: <br />3609 N. County Rd 13 <br />City: <br />Loveland <br />State: <br />Colorado <br />Telephone Number: <br />( 970 ) _ 667-2178 <br />Fax Number: <br />( 970 _ 667-2193 <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number: <br />( ) - <br />CC: STATE OR FEDERAL LANDOWNER (if any) <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number: <br />Title: President <br />P.O. Box: <br />Zip Code: 80538 <br />Title: President <br />P.O. Box: 18087 <br />Zip Code: 80308 <br />Title: President <br />P.O. Box: <br />Zip Code: 80538 <br />Zip Code: <br />Zip Code: <br />