PERMFILE69814

• Permit No: M2000014
• IBM Index Class Name: Permit File
• Doc Date: 1/27/2000
• Doc Name: 110 Application form
• Media Type: D
• Archive: No

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14. Corresooodeocelnformation:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: p Q Jim Yus t
CompanyName: f Yust Ranch
Street: Box 246 881 Grand County 1
City: KremmlinR
State: Colorado Zip Code: 80459
Telephone Number: (g7n 1- 774-"t57R
Fax Number: (_~-
PERMITTING CONTACT (ifditierent from applicanUoperator above)
Individual's Name: Jerry Carpenter Title: President
CompanyName:L? Tri-River Inc
Street: Box 696 720 Tyler
City: Rramml ing
State: Cot..r„a„ Zip Code: Rn~so
Telephone Number: 9( 70 1- 724-9325
Fax Number: 9( 70 1_ 724-9632
INSPECTION CONTACT
Individual's Name:~'a
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
CC~ STATE OR FEDERAL LANDOWNERlifanvl
Agency:
Sneet:
Ciry:
State:
Tile: Owner
Jerry Carpenter Title: President
Tri-River Inc
Rnx hQ(~ 77t1 '~rl er
Kremmling
Colorado
9( 70 1. 724-9325
9( 70 1. 724-9632
Zip Code:
80459
Zip Code:
Telephone Number: ~~ -
CC: STATE OR FEDERAL LANDOWNER (if an
Agency:
Street:
Ciry:
State:
Zip Code:
Telephone Number