Laserfiche WebLink
COG500000 Permit Application www.coloradowaterpermits.com <br />Page 3 of 8 – Revision 2/2021 <br />B.CONTACT INFORMATION (cont.) <br />3.Site/Local Contact (contact for questions relating to the facility & discharge authorized by this permit.) <br />□ Same as 1) Permittee <br />Responsible Position (Title): ______________________________________________ <br />Currently Held By (Person): ______________________________________________ <br />Telephone No: __________________________________ <br />Email address: ___________________________________ <br />Organization: __________________________________________________________ <br />Mailing Address: _______________________________________________________ <br />City: ________________________ State: ______________ Zip: _____________ <br />4.Operator in Responsible Charge □ Same as 1) Permittee □Same as 3) Site/ Local Contact <br />Responsible Position (Title): ______________________________________________ <br />Currently Held By (Person): ______________________________________________ <br />Telephone No: __________________________________ <br />Email address: ___________________________________ <br />Organization: __________________________________________________________ <br />Mailing Address: _______________________________________________________ <br />City: ________________________ State: ______________ Zip: _____________ <br />5.Billing Contact □ Same as 1) Permittee <br />Responsible Position (Title): ______________________________________________ <br />Currently Held By (Person): ______________________________________________ <br />Telephone No: __________________________________ <br />Email address: ___________________________________ <br />Organization: __________________________________________________________ <br />Mailing Address: _______________________________________________________ <br />City: ________________________ State: ______________ Zip: _____________ <br />6.Other Contact Types (check below) Add pages if necessary: <br />Responsible Position (Title): ______________________________________________ <br />Currently Held By (Person): ______________________________________________ <br />Telephone No: __________________________________ <br />Email address: ___________________________________ <br />Organization: __________________________________________________________ <br />Mailing Address: _______________________________________________________ <br />City: ________________________ State: ______________ Zip: _____________ <br />□Environmental Contact □ Other _______________________ <br />□Facility Inspection Contact <br />□Consultant <br />□Compliance Contact <br />□Property Owner <br />RMLaccountspayable@eaglematerials.com <br />Environmental Manager <br />Ben Wilson <br />832-335-0230 <br />bwilson@raptormaterialsllc.com <br />Raptor Materials LLC <br />8120 Gage Street <br />Frederick CO 80516 <br />Accounts Payable <br />Tawnya Snyder <br />720-698-2295 <br />Raptor Materials LLC <br />8120 Gage Street <br />Frederick CO 80516