2017-07-25_REVISION - M2010048

• Permit No: M2010048
• IBM Index Class Name: Revision
• Doc Date: 7/25/2017
• Doc Name: Request For Surety Release
• From: DRMS
• To: various
• Type & Sequence: SL1
• Email Name: TC1
• Media Type: D
• Archive: No

15
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Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Ral h Bell Title: COO
Company Name: Castle Rock Construction Company of Colorado LLC
StreetlP.O. Box: 6374 S . Racine P.O. Box: na
City: Centennial
State: Colorado Zip Code: 80111
Telephone Number: (303—
Fax Number:3� 03_1- 6BB-6685
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: same Title:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: L� Fax Number:
P.O. Box:
Zip Code:
INSPECTION CONTACT
Contact's Name: Ralph Bell Title: COO
Company Name: Castile Rock Construction Comipany of Colorado LLC
Street/P.O. Box: 6374 S. Racine P.O. Box: na
City: Cantennial
State: C'r,l orado Zip Code: 8 0 111
Telephone Number: ! 'A n ' -ARA-6611
Fax Number: (3 03 )-6B8-6685
CC: STATE OR FEDERAL LANDOWNER if an
Agency: none
Street:
City:
State:
Telephone Number: ( -
CC: STATE OR FEDERAL LANDOWNER (if M)
Agency:
Street:
City:
State:
Telephone Number: ( -
-4-
Zip Code:
Zip Code: