PERMFILE70136

• Permit No: M2001038
• IBM Index Class Name: Permit File
• Doc Date: 4/6/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~-
14
P~
Corresoondevice Information:
APPLICAN"f/OPERATOR (name. address, and phone of name to be used on pemvt)
Contact's Name: navy t.i ncoln Title: Owner/Operator
Company Name:
Street:
City:
State:
Telephone Number: ( 303 1- 853-0053
C~
Fax Number: ( 303 )- 853-0083
PERIvIlTTING CONTACT (if different from applicanUoperator above)
Cantact'sName: Robert Fleming
Company Name: Adcb Consulting, Inc.
Street; 2090 E. 104th Ave #305
Bennett Sand S Gravel Company
5500 E. 56th Avenue
Consultant
City:
Stater
Telephone Number:
Fax Number:
INSPECTION CONTACT
r~ Contact's Name:
Company Name:
Street:
Ciry:
State:
Thornton
CO
Zip Code:
80022
Zip Code:
80233
(~03 1- 450-2204
3( 03 1. 452-4515
Same as Applicant
Telephone Number: (_~ -
Fax Number: ~~ -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N A
Street:
City:
State:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: NA
Street:
City:
State:
Telephone Number:
Zip Code:
Zip Code:
Zip Code: