2020-12-22_REVISION - M2016009

• Permit No: M2016009
• IBM Index Class Name: REVISION
• Doc Date: 12/22/2020
• Doc Name: Request For Amendment To Permit
• From: Fremont Paving & Redi-Mix, Inc.
• To: DRMS
• Type & Sequence: AM1
• Email Name: JPL
• Email Name: JLE
• Email Name: AWA
• 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: John Paul Ary Title: President
Company Name: Fremont Paving and Redi Mix
Street/P.O.Box: 839 Mackenzie Ave. P.O.Box:
City. Canon City
State: Colorado Zip Code: 81212
Telephone Number: (719 )_ 275-3264
Fax Number: (719 )_ 275-8897
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Jodi Schreiber Title: COO
Company Name: Fremont Paving and Redi Mix
Street/P.O.Box: 839 Mackenzie Ave. P.O.Box:
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number: (719 )_ 529-0916
Fax Number: (719 )_ 275-8897
INSPECTION CONTACT
Contact's Name: Jodi Schreiber Title: COO
Company Name: Fremont Paving and Redi Mix
Street/P.O.Box: 839 Mackenzie Ave. P.O.Box:
City. Canon City
State: Colorado Zip Code: 81212
Telephone Number: (719 )- 529-0916
Fax Number: (719 )_ 275-8897
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: Colorado State Land Board
Street: 1127 Sherman St., Suite 300
City: Denver
State: Colorado Zip Code: 80203
Telephone Number: (303 )_ 866-3454
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-