PERMFILE65943

• Permit No: M1999077
• IBM Index Class Name: Permit File
• Doc Date: 7/12/1999
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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14. Corresmndence Ia£ormation: .
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Tom Weaver Title: County administrator
Company Name: MOnteZllma Countv
Street: 109 West Main, room 302
City: Cortez.
State: CO zip Code: 81321
Telephone Number: ( 970 ) - 565-8317
Fax Number: ( 1 -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: j,l nyr~ Fvaratt Title: Director
Company Name: Montezuma County Road & Bridge Department
street: 1680 North Hiehway 145
city: Cortez
State: CO Zip Code: 81321
Telephone Number: ( 970 1 - 565-8666
Fax Number: ( 970 ~ - 565-8252
INSPECTION CONTACT
Contact's Name: Title:
Company Name:
Street:
City:
State: Zip Code:
Telephone Number: ( 1 -
Fax Number: ( 1 -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: San Juan National Forest
street: P.O. Box 210. 100 North 6th Street
City: Dolores
State: CO zip Code: 81323
Telephone Number: ( 970 ~ _ 882-7296
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1 -