2018-03-08_PERMIT FILE - M2018010 ‎(4)‎

• Permit No: M2018010
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/8/2018
• Doc Name: Application
• From: Fremont County
• To: DRMS
• Email Name: TC1
• Email Name: WHE
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Tony Adamic Title: DOT Director
Company Name: Fremont County"Board of Commissioners"
Street/P.O.Box: 1170 Red Canyon Road P.O.Box:
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number: (719 1_ 276-7430
Fax Number: (719 )- 275-2120
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Tony Adamic Title: DOT Director
Company Name: Fremont County"Board of Commissioners"
Street/P.O.Box: 1170 Red Canyon Road P.O.Box:
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number: (719 )_ 276-7430
Fax Number: (719 _ 275-2120
INSPECTION CONTACT
Contact's Name: Sterling Rife Title: MSHA Supervisor
Company Name: Fremont County "Board of Commissioners"
Street/P.O.Box: 1170 Red Canyon Road P.O.Box:
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number: (719 )_ 276-7430
Fax Number: (719 )_ 275-2120
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: BLM
Street: 3028 E. Main Street
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number: (719 )_ 269-8500
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-