PERMFILE47372

• Permit No: M2000149
• IBM Index Class Name: Permit File
• Doc Date: 11/29/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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Corre~oondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Todd Dysart
CompanyNeme: Same as above
Street: 11481 CR 370
City: Sterling

Slate: CO
Telephone Number: ( 970 1 _ 522-8814
Fax Number: ( 1-
PERMITCING CONTACT (if different from applicant/operatorahove)
Contact's Name: Not Applicable
Company Name:
Sttcet:
City:
State!'
Telephone Number. ( 1-
Fax Ntmiber: ( 1-
ContacCsN~e: Not Applicable
Company Name:
Street: ,
Ciry:
State:
Telephone Number. ( 1 -
Fax Number: ( ) -
CC STATE OR FIDERAL LANDOWNER (if mv)
Agency: Not Applicable
Street:
Ciry:
State:
Telephone Number: ( ) -
Title:
CC STATE OR FEDERAT_ LANDOWNER (if anv)
Agency: Not Applicable
Stteet:
City:
State:
Title: Own e r
Zip Cade: 80751
Zip Code:
Zip Code:
Zip Code:
Zip Code:
Telephone Number.