PERMFILE54404

• Permit No: M1996079
• IBM Index Class Name: Permit File
• Doc Date: 10/10/1996
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-3-
14. Corresoondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Chester Barnard Title: owner
Company Name: BarnarA Ovarriaa
Street: 245 Evans 5t. P. O. Rox AFi
city: Lyons
state: Colorado zip code: _ 8054n
Telephone Number: ( 303 ~ - 823-6977
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: same as above Title:
Company Name:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
Pax Number: f ) -
INSPECTION CONTACT
Individual's Name: same aS above
Company Na[oe:
Street:
City:
State: Zip Code:
Telephone Number: ( 1 -
Fax Number: ( 1 -
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency: NA
Street:
City:
State:
Telephone Number: ( 1 - _
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency: NA
Street:
City:
State:
Telephone Number: ( ) - _
Zip Code:
Zip Code: