PERMFILE62175

• Permit No: M2000053
• IBM Index Class Name: Permit File
• Doc Date: 4/21/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-3-
14. Corresvondence Information:
APPLICANT/OPERATOR (namel~,77ad/dress, and,s~//phone of name to be used on permit) //~~
Contact's Name: ~nOPr/ H. /.uC't°rcJ Title:fdu~> /'~4nn(r
Company Name: ~A.t AniMaJ (~ounfY ~ruu ~nMlilt
Street: 0700 ~ Fiisf c~oO~h ~~y
city: T n%~c d
State: Co ~U ~a c% Zip Code: 8 ~Og2
Telephone Number: j 7~ r/ ) - c4 `~lo - `~"Yr46
Fax Number: j 7~ ~/ ) - B ~~le - ~~~
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Sa~.~ o s a finu f Title:
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State:
Zip Code:
,$ f1.~ r .ot G+~O u c
Zip Code:
Zip Code:
Telephone Number: 1 ) - _
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State:
Telephone Number: f f - _
Zip Code: