2017-04-04_REVISION - M2009077

• Permit No: M2009077
• IBM Index Class Name: REVISION
• Doc Date: 4/4/2017
• Doc Name: Application
• From: Tracy and Ed Grimes
• To: DRMS
• Type & Sequence: CN1
• Email Name: PSH
• 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: Tracy or Ed G nes; Title: Owner
Company Name: Yucca Ridge Sand&Gravel
Street/P.O.Box: 47570 US Highway 24 P.O.Box: 399
city: Limon
State- Colorado Zip Code. 80828
Telephone Ntmiber. (719 )- 740-1898
Fax Number: ( )
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name Bruce Humphries Title: President
Company Name: Regulatory Permits Management, Inc.
Street)P.O.Box: 22151 E. Euclid Pl. P.O Box:
city: Aurora
Slate: Colorado Zip Code: 80016
Telephone Nmnber. (303 )_ 854-7499
Fax Ntunber: L )_ email:[e-mail]
INSPECTION CONTACT
Contact's Name: Tracy or Ed Grimes Title: Owner
Company Name: Yucca Ridge Sand&Gravel
StreevP.O.Box: 47570 US Highway 24 P.O.Box: 399
City: Limon
State: Colorado Zip Code: 80828
Telephone Niunber (719 )- 740-1898
Fax Nmnber• ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: NA
Street:
City:
State: Zip Code:
Telephone Ntmiber ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency. NA
Street:
City:
State: Zip Code.
Telephone Ntunber: ( 1-
9