PERMFILE42767

• Permit No: M2001010
• IBM Index Class Name: Permit File
• Doc Date: 3/1/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

• ALLIS~I`I GRAYEL PIT
- 3 -
14. Corteapondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact', Name: Tim Sheridan Title:Simla R6B Foreman
Company Name: Flhert ounty Govt.
Street 809 lrr Ave.
Clly: Cimla
State: f'nlnradn Zip Code: $0835
Telephone Number: ( 7Lo 1- 541-77fiR
Far Number ( ltq 1- 541-7R7h
PERMITTII3G CONTACT (if different from applicantloperator above)
ContacCsName: As Above. Title:
Company Name:
Street: _ __
Ciry
State:
Telephone Nnmber.
Far Ntmiber:
INSPECTION CONTACT
Conhcis Name:
Tim Sheridan Title: Simla Road And Bridge Foreman
Zip Code:
Company Name
Street: 809 I1,Ee.. .,, r ,:4~. ~:: ' ~ ,'.~; ~ i ,
City: 61rt~1n
Stale: fnl nraAn Zlp Code: 80117
TelephoneNtunber: ( 710 1- 547-2768
FaxNt~ber: ( 710 1- 541-7R7fi
CC: STATE ORFEDERai LA_NDOWNER(~fanvl
Agency: n,,,*,~ nn
Street:
Citv:
State:
Telephone Number: ( ) - _
CC: STATE OR FEDERAL LANDOWNER (if and
Agency: N / a
Street:
City:
State:
Telephone Number
Zip Code:
Zip Code: