PERMFILE58057

• Permit No: M2005021
• IBM Index Class Name: Permit File
• Doc Date: 4/8/2005
• Doc Name: 112c New Appl
• From: Oldcastle SW Group Inc. dba Four Corners Materials
• To: DMG
• Media Type: D
• Archive: No

-3-
]4. Corresuondencelnformatlon:
APPLICANT/OPERATOR (name, address, and phone of name to be used an permit)
Contact's Name: - ~r~n~' Ket-t'
Company Name:
Street/P.O. Box:
City:
state:
Telephone Number;
Fax Number.
O ~d C6SI'~G SW G~ON~~.nC. ~~A uN~'~ COMPo.NeJ a~ McJa G01.Avy
PO ~ok 3609 P.o. Box: //
Gr4nd Sv,,.~~-'bn
color-e,da zip Code: ~~soa
r °1l0 )- aH3~y9~
~9~0 )- ay3- S9y$
PERMITTING CONTACT (if di~ff-+erent from applicanVoperator above)
Contact's Name: t7 r! ~ G' 6JO ~ _ Title: Enq ; nLt
Compaq Name:
StreetlP.O. Box:
City.
State:
Telephone Number:
Fax Number:
Contact's Name:
Company Name:
StreeUP.O. Box:
City:
State:
Telephone Number:
Fax Number:
~C: STATE OR FIDERAI. LANDOWNER fif am)
Agency:
Street:
City:
State:
Telepha~ne Number.
Zip Code: ~ ~ SOa2
Code:
CC• STATE OR FEDERAL LANDOWNER (if am')
Agency:
Street:
City:
State:
~ kfrr 11 Title:
f~'lf Si~ CreMO.ZM. r)ha Uni
Zip Code:
Telephone Number: (~] -
Park¢f
C-0lor4do zip Code; ~013g
c 303 )- 3465196
3f 03 )- 3y6- Eg34
~o _ a4s-4gao
~ quo .~- a43-sa~-