2015-09-30_PERMIT FILE - M1985112

• Permit No: M1985112
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/30/2015
• Doc Name: Application AM01
• From: Loloff Construction
• To: DRMS
• Type & Sequence: AM1
• Email Name: PSH
• 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: Randy Geist
Title: Owner
Company Name: Loloff Construction, Inc.
Street/P.O. Box: 801 8th Street Suite 130
P.O. Box:
City: Greeley
State: Colorado
Zip Code: 80631
Telephone Number: ( 970 _ 301-4292
Fax Number: ( -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: John Vazquez
Title: Owners Representative
Company Name:
Street/P.O. Box: 106 Rock Bridge Ct
P.O. Box:
Citv: Windsor
State: Colorado Zip Code: 80550
Telephone Number: ( 970 _ 217-9965
Fax Number: ( -
INSPECTION CONTACT
Contact's Name: Kelly Hodge Title: Operations Manager
C'mmnsnv Name. Northern Colorado Gravel & Sand, LLC
Street/P.O. Box: 590 Balsam P.O. Box:
City. Greeley
State: Colorado Zip Code: 80631
Telephone Number: ( 970 _ 301-4292
Fax Number: ( 1 -
CC: STATE OR FEDERAL LANDOWNER (if any)
A oencv
a____I _
Street:
Citv:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Ctreet•
City:
State: Zip Code:
Telephone Number: ( 1-