2015-07-23_PERMIT FILE - M2015030

• Permit No: M2015030
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/23/2015
• Doc Name: Application
• From: Asphalt Specialisties Co., Inc.
• To: DRMS
• Email Name: ECS
• Email Name: WHE
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Dan Hum Title: President
Company Name: Asphalt Specialties Co., Inc.
Street/P.O. Box: 10100 Dallas St. P.O. Box:
City: Henderson
State:
Colorado
Zip Code: 80640
Telephone Number:
( 303 ) _ 289-8555
Fax Number:
( 303 ) _ 289-7707
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Rob Laird
Title: Resource Mgr.
Company Name:
See Above
Street/P.O. Box:
See Above
P.O. Box:
City:
See Above
State:
See Above
Zip Code:
Telephone Number:
( ) - See Above
Fax Number:
( ) _ See Above
INSPECTION CONTACT
Contact's Name:
Rob Laird
Title: Resource Mgr.
Company Name:
See Above
Street/P.O. Box:
See Above
P.O. Box:
City:
See Above
State:
See Above
Zip Code:
Telephone Number:
( ) _ See Above
Fax Number:
( ) _ See Above
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
N/A
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
N/A
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -