2020-05-26_REVISION - M2014024

• Permit No: M2014024
• IBM Index Class Name: REVISION
• Doc Date: 5/26/2020
• Doc Name: Request For Amendment To Permit
• From: Weld County
• To: DRMS
• Email Name: PSH
• Email Name: JLE
• Email Name: AWA
• 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: Jay McDonald Title: Director
Company Name: Weld County Public Works
Street/P.O.Box: 1111 H St P.O. Box: 758
City: Greeley
State: Co Zip Code: 80632
Telephone Number: (970 _ 304-6496
Fax Number: (970 _ 304-6497
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Jeff York Title: Trucking/Mining Division Supervisor
Company Name: Weld County Public Works
Street/P.O.Box: 1111 H St P.O.Box: 758
City: Greeley
State: Co Zip Code: 80632
Telephone Number: (970 _ 304-6496 x 3722
Fax Number: (970 _ 304-6497
INSPECTION CONTACT
Contact's Name: Same as Permitting Contact Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: { 1-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( )-