PERMFILE46632

• Permit No: M2001012
• IBM Index Class Name: Permit File
• Doc Date: 2/20/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on penni[)
Contact's Name: Wachi natnn (`nnnt-v Tide: (Ymni ssi Doers
Company Name: Washington County Road and Bridge Department
Street: 150 Ash Street
City: Akron
State: Colorado Zip Cade: 80720
Telephone Number: 97( 0 1- 345-2701
Fax Number: 7{~ 0 1- 345-2702
PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: Rartw as aMva Title:
Company Name:
Street:
City:
State:%
Telephone Number:
Fax Ntunber:
INSPECTION COT3TACT
Contacts Name
Zip Cade:
Same as above Title:
Company Name:
Street:
City:
State:
Telephone Number: (__~ -
FaxNttmber: ~_]-
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency: N/A
Street:
City:
State:
Telephone Number: ~~ -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: rJ/fa
Street:
City:
State:
Telephone Number
Zip Code:
Zip Code:
Zip Code: