2017-10-05_REVISION - M2006081

• Permit No: M2006081
• IBM Index Class Name: REVISION
• Doc Date: 10/5/2017
• Doc Name: Request For Amendment To Permit
• From: Daniel & Barbara Gaudreault
• To: DRMS
• Type & Sequence: AM1
• Email Name: ERR
• 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: DarM I GOudreaUlt Title: Owner
Company Name: DBA Big "G" Gravel Pit
Street/P.O.Box: P.O. Box: 69
City: Elizabeth
State: Colorado Zip Code: 80107
Telephone Number: (303 )- 435-3081
Fax Number: ( )-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Joseph V. Gagliano, P.E. Title: Consultant
Company Name: Gagliano Engineering, Inc.
Street/P.O.Box: P.O.Box: 2520
City: Pueblo
State: Colorado Zip Code: 81004
Telephone Number: (719 )_ 547-7073
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Joseph V. Gagliano, P.E. Title: Consultant
Company Name: Gagliano Engineering, Inc.
Street/P.O.Box: P.O.Box: 2520
City: Pueblo
State: Colorado Zip Code: 81004
Telephone Number: (719 )_ 547-7073
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-