2019-09-17_PERMIT FILE - M2019049

• Permit No: M2019049
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/17/2019
• Doc Name: Application
• From: Washington County Dist. 2
• To: DRMS
• Email Name: BFB
• Email Name: MAC
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Jason Lockard Title: Road Supervisor
Company Name: Washington County- Dist 2
Street/P.O.Box: 501 E. 4th Ave. P.O.Box:
City: Otis
State: CO. Zip Code: 80743
Telephone Number: f 970 _ 246-3347
Fax Number: (970 1- 246-3347
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Robert Frick Title: DRMS Admin
Company Name: Washington County - Dist 2
Street/P.O.Box: 501 E. 4th Ave. P.O.Box:
City: Otis
State: CO. Zip Code: 80743
Telephone Number: (970 _ 246-3347
Fax Number: (970 )_ 246-3347
INSPECTION CONTACT
Contacts Name: Jason Lockard Title: Road Supervisor
Company Name: Washington County- Dist 2
Street/P.O.Box: 501 E. 4th Ave. P.O.Box:
City: Otis
State: CO. Zip Code: 80743
Telephone Number: (970 _ 2416-3347
Fax Number: (970 )_ 246-3347
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: f )-
CC: STATE OR FEDERAL LANDOWNER(if any
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-