2016-02-25_REVISION - M1990140

• Permit No: M1990140
• IBM Index Class Name: Revision
• Doc Date: 2/25/2016
• Doc Name: Request CN01
• From: Martin Pit 1-A
• To: DRMS
• Type & Sequence: CN1
• Email Name: ACY
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Derek Duran Title: VP
Company Name: Duran & Pearce Contractors
Street/P.O.Box: P.O.Box: 1331
City: Craig
State: Colorado Zip Code: 81626
Telephone Number: ( 970 )_ 824-4014
Fax Number: (970 )_ 824-4014
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: (Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Derek Duran Title: VP
Company Name: Duran & Pearce Contractors
Street/P.O.Box: P.O. Box: 1331
City: Craig
State: Colorado Zip Code: 81626
Telephone Number: (970 1. 824-4014
Fax Number: (970 _ 824-4014
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( -
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-