2015-05-27_REVISION - M2002109

• Permit No: M2002109
• IBM Index Class Name: REVISION
• Doc Date: 5/27/2015
• Doc Name: Notice AR01
• From: DRMS
• To: A. Blasi & Sons Trucking
• Type & Sequence: AR1
• Email Name: TOD
• Media Type: D
• Archive: No

3
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Anthony Blasi
Tide: President
Company Name: A. Blasi & Son Trucking
& Earthmoving Inc.
Street: 38043 CR 32.4
City. Trinidad
State: Colorado
Zip Code: 81082
Telephone Number: ( 719 1- 845-8785
Fax Number: ( 719 1 - 845-8786
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Same
Title:
Company Name:
Street:
Cit)r.
State:
Zip Code:
Telephone Number: -
Fax Number: -
INSPECTION CONTACT
Individual's Name: Same
Title:
Company Name:
Street:
City.
State:
Zip Code:
Telephone Number: -
Fax Number: -
CC: STATE OR FEDERAL LANDOWNER (if anvi
Agency. t1 /A
Street:
City.
State:
Zip Code:
Telephone Number: ( 1 -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency. N / A
Street:
City.
State:
Zip Code:
Telephone Number: ( ) -