2016-10-18_REVISION - M1977094

• Permit No: M1977094
• IBM Index Class Name: Revision
• Doc Date: 10/18/2016
• Doc Name: Request For Amendment To Permit
• From: Morgan Sand & Gravel
• To: DRMS
• Type & Sequence: AM1
• 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: Greg Westhoff
Title: Owner
Company Name: Morgan Sand & Gravel
Street/P.O. Box: 21245 Hwy 52
P.O. Box: P.O. Box 1443
City: Fort Morgan
State: Colorado
Zip Code: 80701
Telephone Number: C970 _ 867-8074
Fax Number: ( 970 _ 867-3774
PERMITTINQ 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:
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:
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( - 1-