2021-03-01_PERMIT FILE - M2021015

• Permit No: M2021015
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/1/2021
• Doc Name: Application
• From: Kiowa County Road & Bridge
• To: DRMS
• Email Name: AME
• Email Name: MAC
• 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: Tina Adamson Title: County Administrator
Company Name: Kiowa County
Street/P.O.Box: 1305 Goff Street P.O.Box: 100
City: Eads
State: Colorado Zip Code: 81036
Telephone Number: (719 _ 438-5810
Fax Number: (719 )_ 438-5615
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Allen Watts Title: Foreman
Company Name: Kiowa County Road & Bridge
Street/P.O.Box: 1305 Goff Street P.O.Box: 100
City: Eads
State: Colorado Zip Code: 81036
Telephone Number: (719 _ 688-3972
Fax Number: (719 )_ 438-5615
INSPECTION CONTACT
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: (Fax Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: )-