2018-10-12_REVISION - M1998022

• Permit No: M1998022
• IBM Index Class Name: REVISION
• Doc Date: 10/12/2018
• Doc Name: Request For Amendment To Permit
• From: The Gallegos Corporation
• To: DRMS
• Type & Sequence: AM1
• Email Name: DMC
• 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: Gary Woodworth Title: Chief Executive Officer
Company Name: The Gallegos Corporation
Street/P.O. Box: P.O.Box 821 P.O. Box:
City: Vail
State: Colorado Zip Code: 81658
Telephone Number: ( 970 1- 926-3737
Fax Number: (9 7 0 )- 926-3727
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: William P "Bill" Balaz Jr. Title: Sr.Mining Engineer
Company Name: Tetra Tech Inc.
Street/P.O. Box: 2768 Compass Drive Suite 200 P.O. Box:
City: Grand Junction
State: Colorado Zip Code: 81506
Telephone Number: ( 970 )- 986-3569
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Frank Gutierrez -title: President
Company Name: The Gallegos Corporation
Street/P.O. Box: P. O. Box 821 P.O. Box:
City: V a i I
State: Colorado Zip Code: 81658
Telephone Number: ( 970 1- 524-4322 x 105
Fax Number: ( 970 )- 524-9878
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: United States Forest Service
Street: 620 Main Street
City: Carbondale
State: Colorado Zip Code: 81623
Telephone Number: 970 )- 963-2266
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-