2024-06-12_REVISION - M1991133

• Permit No: M1991133
• IBM Index Class Name: Revision
• Doc Date: 6/12/2024
• Doc Name: Request For Amendment To Permit
• From: Robins Construction
• To: DRMS
• Type & Sequence: AM2
• Email Name: RAR
• Email Name: JLE
• Email Name: EL1
• Media Type: D
• Archive: No

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II. Correspondence Information:
APPLICANT/OPERATOR (name_addrecc and phone of name to he aced on permit)
Contact's Name: Randy Robins Title: Managing_Partner
Company Name: Robina.Construction_LLLP
Street/P.O. Box: 38767 State HWY 17 _ P.O. Box: _ 212 _
City: _ Antgnito
State: CO Zip Code: 81120
Telephone Number: L 719 j_ 376-2351
Fax Number. L 719 j- 376-2231
PERMITTING CONTACT (if different from applicant'operator above)
Contact's Name: Scott Johnson Tide President . _
Company Name: Summit Engineering Co.
Street/P.O.Box: 1317 State Ave P.O. Box. A.Rg7
City: _ Alamosa
State: _ CO _ Zip Code: 81101 _
Telephone Number: L 719 �- 589-6147
Fax Number: . 719 _1- 589-6633 _
INSPECTION CONTACT
Randy Robins
Contact's Name: Title: Managing. _ ging Partner _
Company Name: _ Robins Conctruction LLLP
Street/P.O. Box: 38767 State.HWY 17 . P.O. Box: 212
City. - Antonito
State: _ CO _ Zip Code 81120
Telephone Number: L 719 j- 376-2351
Fax Number: L.719 j_ 376-2231
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( I-
CC: STATE OR FEDERAL LANDOWNER(if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: I-
Summit Engineering Job Number: 240328CE 3
719-589-6147
Alamosa, CO