2021-08-06_PERMIT FILE - M2021052

• Permit No: M2021052
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/6/2021
• Doc Name: Application
• From: Scott Contracting, Inc.
• To: DRMS
• Email Name: ACY
• Email Name: THM
• Email Name: AWA
• Email Name: SMS
• 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:
Company Name. IHC Scott, Inc. (dba Scott Contracting, Inc.)
Street/P.O.Box: 9200 E. Mineral Avenue, Suite 400 P.O.Box:
City: Centennial
State: Co Zip Code: 80112
Area Code: (720 ) Telephone: [phone]
Fax Number: ( ) Telephone:
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:
Company Name: IHC Scott, Inc. (dba Scott Contracting, Inc.)
Street/P.O.Box: 9200 E. Mineral Avenue, Suite 400 P.O. Box:
City: Centennial
State: Co Zip Code: 80112
Area Code: (720 ) Telephone: [phone]
Fax Number: ( ) Telephone:
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Area Code: ( 1 Telephone:
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Area Code: ( ) Telephone: