2022-11-22_REVISION - M2015030 ‎(2)‎

• Permit No: M2015030
• IBM Index Class Name: Revision
• Doc Date: 11/22/2022
• Doc Name: Request For Amendment To Permit
• From: Asphalt Specialties CO
• To: DRMS
• Type & Sequence: AM2
• Email Name: ECS
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

-3-
l 1. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Daniel Hunt Title: President
Company Name: Asphalt Specialties Co., Inc.
Street/P.O.Box: 10100 Dallas Street P.O.Box:
City: Henderson
State: Colorado Zip Code: 80640
Telephone Number: (303 )_ 289-8555
Fax Number: (303 )_ 289-7707
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Greg Geras Title: Land Resource Manager
Company Name: Asphalt Specialties Co., Inc.
Street/P.O.Box: 10100 Dallas Street P.O.Box:
City: Henderson
State: Colorado Zip Code: 80640
Telephone Number: (303 )_ 289-8555
Fax Number: (303 )- 289-7707
INSPECTION CONTACT
Contact's Name: Greg Geras Title: Land Resource Manager
Company Name: Asphalt Specialties Co., Inc.
Street/P.O.Box: 10100 Dallas Street P.O.Box:
City: Henderson
State: Colorado Zip Code: 80640
Telephone Number: L03 )_ 289-8555
Fax Number: (303 )_ 289-7707
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: L )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: )