PERMFILE62016

• Permit No: M1981275
• IBM Index Class Name: Permit File
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-t.
14. Correaoondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Diana K. Watson Title: Owner
Company Name
Street: 840 Co. Rd. # 4
Cin~: Meeker, Co.
State: Colorado Zip Code: 81641
Telephone Number: (970 1- 878-5898 -
FaxNumber: 97( 0 1- 878-4523
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street:
City:
State.'
Zip Code:
Telephone Number: ( 1-
Fax Number: ( 1-
INSPECTION CONTACT
Contact's Name: Diana K .
Company Name:
Street:
City:
State:
Watson
Owner
840 Co. Rd # 4 P.0. Box 1056
Meeker,
Colorado
Zip Cade: 816 41
Telephone Number: 9( 70 1- 878-5898 or 878-4692
Fax Number: 9( 70 1- 878-4523
CC: STATE OR FIDERAL LANDOWNER f if and
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: (~ -
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ~_~ -