2024-09-20_REVISION - M1980038

• Permit No: M1980038
• IBM Index Class Name: Revision
• Doc Date: 9/20/2024
• Doc Name: Request For Conversion
• From: Dolores County Road & Bridge Department
• To: DRMS
• Type & Sequence: CN1
• Email Name: LJW
• Email Name: THM
• Email Name: EL1
• 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: Steve Davis Title: Road Supervisor
Company Name: Dolores County Road &Bridge Department
Street/P.O.Box: 8477 RD 7.7 P.O.Box: 426
City: Dove Creek
State: CO Zip Code: 81324
Telephone Number: (970 )- 677-2328
Fax Number: (970 )- 677-2244
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: SAME AS ABOVE Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )-
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: SAME AS ABOVE Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )-
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: Bureau of Land Management
Street: 15 Burnett CT
City: Durango
State: CO Zip Code: 81301
Telephone Number: (970 )- 247-4878
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: BLM-Tres Rios Field Office
Street: 29211 Hwy 184
City: Dolores
State: CO Zip Code: 81323
Telephone Number: (970 )_ 882-1120