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

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: John R AFY Title: President
Company Name: Fremont Paving & Redi-Mix Inc.
Street/P.O.Box: 839 MacKenzie Avenue P.O.Box: 841
City: Canon City
State: Colorado Zip Code: 81212 (81215)
Telephone Number: (719 )_ 275-1280
Fax Number: (719 )- 275-8897
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Angela M. Bellantoni Title: Consultant
Company Name: Environmental Alternatives Inc.
Street/P.O.Box: 1107 Main Street P.O.Box:
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number: (719 )_ 275-8951
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Steve Chisholm Title: CFO
Company Name: Fremont Paving & Redi-Mix Inc.
Street/P.O.Box: 839 MacKenzie Avenue P.O.Box: 841
City: Canon City
State: Colorado Zip Code: 81212 (81215)
Telephone Number: (719 )_ 275-1280
Fax Number: ( -
CC: STATE OR FEDERAL LANDOWNER(if any
Agency: Colorado State Land Board
Street: 1127 Sherman Street, 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. ( )-