2015-12-10_PERMIT FILE - M2015045

• Permit No: M2015045
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/10/2015
• Doc Name: Application
• From: Weld County Public Works
• 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: Jay Donald Title: Director of Public Works
Company Name: Weld County Public Works
Street/P.O. Box: 1111 H. Street P.O. Box: 758
City: Greeley
State: Colorado Zip Code: 80632
Telephone Number: (970 ) _ 304-6496
Fax Number: (970 ) - 304-6497
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Valerie Mino Title: Water Engineer
Company Name: Weld County Public Works
Street/P.O. Box: same as above P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: Clay Kimmi Title: Senior Engineer
Company Name: Weld County
Street/P.O. Box: same as above P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
NA
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: NA
Street:
City:
State: Zip Code:
Telephone Number: ( ) -