2016-11-02_REVISION - M1991035

• Permit No: M1991035
• IBM Index Class Name: REVISION
• Doc Date: 11/2/2016
• Doc Name: Notice of Surety Release
• From: DRMS
• To: various
• Type & Sequence: SL1
• Email Name: MAC
• Media Type: D
• Archive: No

f _2-
9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
1 Individual ' s Name: Martin A. Jones, P.E. Vice President & General Manager
Company Name: Western Aggregates, Inc.
Street: 11728 Highway 93
C i ty: Boulder
State: Colorado Zip Code: 80303
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual ' s Name: Richard Myers or Paul Banks
Company Name: Western Aggregates, Inc. SHB AGRA, Inc.
' Street: 11728 Highway 93 165 S. Union Blvd., Suite 516
City: Boulder Lakewood, CO 80228
State: Colorado Zip Code: 80303
Area Code: 303 Telephone: [phone]
' INSPECTION CONTACT
Individual 's Name: Richard Myers
Company Name: Western Aggregates, Inc.
Street: 11728 Highway 93
City: Boulder
State: Colorado Zip Code: 80303
Area Code : 303 Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: _ United States of America Department of Energy
' Street: P.O. Box 928
City: Golden
State : Colorado Zip Code: 80402-0928
Area Code: 303 Telephone: [phone]
' CC: STATE OR FEDERAL LANDOWNER ( if any)
Agency: N/A
Street:
City:
' State: Zip Code:
Area Code: Telephone: _