2015-12-17_REVISION - M1981207

• Permit No: M1981207
• IBM Index Class Name: Revision
• Doc Date: 12/17/2015
• Doc Name: Administrative TR07
• From: Western Slope Aggregates
• To: DRMS
• Type & Sequence: TR7
• Email Name: ACY
• Email Name: GRM
• Media Type: D
• Archive: No

-3-
11. Cuj resu0uaeime lutarmation:
APPLICANT/OPERA 1 Or, („ame, UZM035, auQ trnoue at uauie to be uaea (311 V01111it)
CUIRdCls Naive: Sean Mello
CU.,,,,a.,y 1Naiue: western Slope Aggregates, Inc.
Street/P.O. Box:
1 itle: General Mai ,,yer
F.U. tion.: "1319
City:
Carbondale
State:
Colorado
Lip Caae: 81623
1 UIEVnouc N umbel:
( 970 1. 963-2296
Fax Number:
( 970 _ 963-2412
[e-mail]
YtKMl l 111NQ QQ-N lAf.j
(it aitteieiit truiii atjyliCaiit/UFCIdLor above)
Contact's Name:
Greg Lewicki
t itm: rresident
l umpany Nallle:
Greg Lewicki & Associates
Street/P.O. Box:
11541 Warrington CouR
F.U. tion.:
City:
Parker
State:
Colorado
Lip Uaae: 80138
1 elet,noi,e N umbel:
( 303 1 _ 346-5196
Fax Number:
(303 , _ 346-6934
[e-mail]
1NSNbQ I IUN CON IAU C
Co -tact's Nzwiz:
Sean Mello
Title: General Manager
C C;lLlpaiiy Mime:
Western Slope Aggregates, Inc.
St.cc,t/P.D. uo,.:
F.O. 1307,: 1319
City:
Carbondale
State:
Colorado
Zip Code: 81623
Telephone Number:
( 970 _ 963-2296
ran Nuuibei:
( 970 1. 963-2412
[e-mail]
CC: STATE OR FEDERAL LANDOWNEIc ff a.,y)
Agciizy :
Street:
Gty:
State:
Lit, L;oae:
I elepnour, IN umbel:
CC: STATE OR FED Et -,.AL LAIN UUW IN tK kT guy?
AgeuCy:
Street:
City:
Stat:
Telephone Number:
Lits cane: