2021-02-03_REVISION - M2020008 ‎(4)‎

• Permit No: M2020008
• IBM Index Class Name: Revision
• Doc Date: 2/3/2021
• Doc Name Note: Part 1 of 2
• Doc Name: Request For Amendment To Permit
• From: Scott Contracting
• To: DRMS
• Type & Sequence: AM1
• Email Name: LJW
• Email Name: THM
• Email Name: AWA
• Media Type: D
• Archive: No

-3-
13. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Individual's Name: Tony Roberts Title: Vice President
Company Name: Scott Contracting
Street/P.O. Box: 9200 E. Mineral Ave., #400 P.O.Box:
City: Centennial
State: Colorado Zip Code: 80112
Area Code: (303 ) Telephone: [phone]
Fax Number: (303 ) Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Area Code: ( ) Telephone:
Fax Number: ( ) Telephone:
INSPECTION CONTACT
Individual's Name: Tony Roberts Title:VIGO President
Company Name: Scott Contracting
Street/P.O.Box: 9200 E. Mineral Ave., #400 P.O.Box:
City: Colorado
State: Colorado Zip Code: 80112
Area Code: (303 ) Telephone: [phone]
Fax Number: (303 ) Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Area Code: ( ) Telephone:
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Area Code: ( ) Telephone: