2019-01-18_REVISION - M1974086 ‎(16)‎

• Permit No: M1974086
• IBM Index Class Name: Revision
• Doc Date: 1/18/2019
• Doc Name: Request For Amendment To Permit
• From: Asphalt Paving Co.
• To: DRMS
• Type & Sequence: AM4
• Email Name: ECS
• Email Name: MAC
• 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: Jeff Keller Title:
Company Name: Asphalt Paving Co.
Street/P.O.Box: 14802 W 44th Avenue P.O.Box:
City: Golden
State: CO Zip Code: 80403
Telephone Number: (303 _ 996-7222
Fax Number: )-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Stan Opperman Title:
Company Name: Asphalt Paving Co.
Street/P.O. Box: 14802 W 44th Avenue P.O.Box:
City: Golden
State: CO Zip Code: 80403
Telephone Number: (303 )_ 996-7222
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-