PERMFILE66457

• Permit No: M2002049
• IBM Index Class Name: Permit File
• Doc Date: 4/1/2002
• Doc Name: Permit Application
• From: Rio Blanco County
• To: DMG
• Media Type: D
• Archive: No

- 3 -
14. Correspoodeoce lnfotmation:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Mr. Stanley Rasmussen Title: Supervisor
CompanyName• Rio Blanco County Road and Bridge
Street: 17497 Colo. State Highway no. 64
Ciry: Rangely
State: Colorado Zip Code: 81648
Telephone Number: 9( 70 1- 675-8644
Fax Number. 9( 70 1. 675-521 1
PERMITTING CONTACT (ifdifferent from applicanUoperator above)
Individual's Name:
Company Name:
Street:
Title:
City:
State:
Telephone Number: ~,~-
FaxNttmber. ~~-
Zip Code:
INSPECTION CONTACT
Individual's Name: Mr. Stanley Rasmussen Title: Supervisor
Company Name: Rio Blanco County Road and Bridge
Street: 17497 Colo. State Highway no. 64
City: Rangely
State: Colorado Zip Code: 81648
Telephone Number: 9( 70 1- 675-8644
Fax Number: 9( 70 1_ 675-5211
CC: STATE OR FEDERAL LANDOWNER (ifanv)
Agency: Bureau of Land Management
Street: P.O. Box 928
City: Meeker
State: Colorado Zip Code: 81641
Telephone Number: 9( 70 1- 878-3601
CC: STATE OR FEDERAL LANDOWNER (ifanvl
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -