PERMFILE58708

• Permit No: M2002020
• IBM Index Class Name: Permit File
• Doc Date: 3/4/2002
• Doc Name: 112c Permit Application
• Media Type: D
• Archive: No

i-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Todd Williams Title:
C ~eweie~
parefin
ntd
ompany Name: City of Greeley Water Enterprise r/o e
e
Street: 1100 10th Street
City: Greeley -
State: Colorado Zip Cade: 80631
Telephone Number: 9f 70 1- 350-9291
Fax Number: (970 1- 350-9805
PERMITTINGCONTACT (ifdifferen[fromapphcanUoperatorabove)
Environmantal Compliance
Contact's Name: Pam Acre TiUe:_Specialist
Company Name: Applegate Group, Inc.
Street: 1499 West 120th Avenue, Suite 200
City: Denver
State.' Colorado Zip Code: 80234
Telephone Number: 30( 3 1- 452-6611
Fax Number. f 303 1- 4 2-2759
INSPECTION CONTACT
ContacCsName: Todd Williams Title:
~reeley Water and
Company Name: City of Greeley. Water Enterprise c/o Sewer llepartment
S~ 1100 10th Street
City: Greeley

State: Colorado Zip Code: 80631
TelephoceNumber: 9( 70 1- 350-9291

Fax Number: 9( 70 ) 350-9805

CC: STATE OR FIDERAL LANDOWNER (if anvl
Agency: n 1 a
Street:
City:

State: Zip Code:
Telephone Number: I~ -
CC: STATE OR FEDERAL LANDOWNER (if any]
Agency: n/a
StreeL•
City:
Stale:
Telephone Number.
Zip Code: