PERMFILE43593

• Permit No: M1998091
• IBM Index Class Name: Permit File
• Doc Date: 10/27/1998
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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19. Correnooadence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: .TnSF'PH T. ('.C1(;AN Title: (1WNF.R
Company Name:
Street:
City: NATHROP, COLORADO
State: COLORADO 8123( zip Code:
Telephone Number: (119 ) - 395-2339
Fax Number: f 1 -
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Title:
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Individual's Name
Zip Code:
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
COLORADO 81236 Zip Code:
r 719 ) - 395-2339
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: ~H?.
Street:
City:
State:
Zip Code:
Telephone Number: ( ) - _
CC: STATE OR FEDERAL LAN DO~W,,N-EIR, ~(if anv)
Agency: '~.6~C,
Street:
City:
State:
Zip Code:
Telephone Number: