2016-08-04_REVISION - M1985212

• Permit No: M1985212
• IBM Index Class Name: Revision
• Doc Date: 8/4/2016
• Doc Name: Reclamation Permit Application
• From: Arkin's Park Stone Quarry
• To: DRMS
• Type & Sequence: AM3
• Email Name: MAC
• 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: Neil C-and Arlis M. Sprague Title: Owner
Company Name: Arkin's Park Stone Corp.
Street/P.O.Box: 5975 N CR 27 P.O.Box:
City: Loveland
State: Colorado Zip Code: 80538
Telephone Number: ( 303 _ 663-1920
Fax Number: )-
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: Adis M. Sprague Title: Owner
Company Name: Arkin's Park Stone Corp.
Street/P.O.Box: 5975 N CR 27 P.O.Box:
City: Loveland
State: Colorado Zip Code: 80538
Telephone Number: (303 1. 663-1920
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: None
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: None
Street:
City:
State: Zip Code:
Telephone Number: ( )-