2016-12-08_REVISION - M1978210 ‎(7)‎

• Permit No: M1978210
• IBM Index Class Name: REVISION
• Doc Date: 12/8/2016
• Doc Name: Completeness Notice
• From: DRMS
• To: Various
• Type & Sequence: AR5
• Email Name: PSH
• 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: Jay McDonald Title: Supervisor
Company Name: Weld County Public Works
Street/P.O.Box: 1111 H Street P.O.Box: 758
City: Greeley
State: Co Zip Code: 80632
Telephone Number: ( 970 )_ 304-6496
Fax Number: ( 970 )_ 304-6497
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: David Bauer Title: County Engineer
Company Name: Weld County Public Works
Street/P.O.Box: 1111 H Street P.O.Box: 758
City: Greeley
State: Co Zip Code: 80632
Telephone Number: ( 970 )_ 304-6496
Fax Number: ( 970 _ 304-6497
INSPECTION CONTACT
Contact's Name: Jay McDonald Title: Supervisor
Company Name: Weld County Public Works
Street/P.O.Box: 1111 H Street P.O.Box: 758
City: Greeley
State: co Zip Code: 80632
Telephone Number: ( 970 _ 304-6496
Fax Number: ( 970 _ 304-6497
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: ( )-