2022-05-06_REVISION - M1998105 ‎(3)‎

• Permit No: M1998105
• IBM Index Class Name: Revision
• Doc Date: 5/6/2022
• Doc Name: Request For Amendment To Permit
• From: Grand Junction Pipe & Supply CO
• To: DRMS
• Type & Sequence: AM1
• Email Name: RDZ
• 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: Russ Larsen Title: COO
Company Name: Elam Construction, Inc. �' �)✓�� /"i-d—� "10DIJ ("'17
Street/P.O.Box: 556 Struthers Ave P.O.Box:
City: Grand Junction
State: CO Zip Code: 81501
Telephone Number: (970 )_ 242-5370
Fax Number: ( )-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Ben Langenfeld Title: Manager
Company Name: Lewicki &Associates
Street/P.O.Box: 3375 W Powers Circle P.O.Box:
City: Littleton
State: CO Zip Code: 80123
Telephone Number: (720 _ 842-5321, ex. 1
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Jim Doody Title: Environ. Manager
Company Name: Elam Construction, Inc.
Street/P.O.Box: 556 Struthers Ave P.O.Box:
City: Grand Junction
State: CO Zip Code: 81501
Telephone Number: (970 _ 712-6634
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-