2015-12-16_PERMIT FILE - M2004031

• Permit No: M2004031
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/16/2015
• Doc Name: Application AM01
• From: Hazeltine Mine
• To: DRMS
• Type & Sequence: AM1
• Email Name: TOD
• 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:
Connie N. Davis
Company Name: Aggregate Industries-WCR, Inc.
Title: Land Manager
Street/P.O. Box: 1687 Cole Boulevard, Suite 300 P.O. Box:
City: Golden
State: CO Zip Code: 80401
Telephone Number: (970 ) _ 396-5252
Fax Number: ( 303 ) _ 716-5295
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Same Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: Same Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( )-
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: ( ) -