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