PERMFILE70556

• Permit No: M1997094
• IBM Index Class Name: Permit File
• Doc Date: 10/14/1997
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

• -3- •
14. Correspondence Information
APPLICANT/OPERATOR (name, nddress and phone of name to be used on permit)
Individual's Name: Ferd A. Mueller Title: Agent
Company Name: Siloam Stone
Street: 1360 Rudd Avenue
City: Canon Citv
State: Colorado Zip Code: 81212
Telephone Number: 1 970 ) - 275-4275
Fax Number: ( 970 1 - 269-1033
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Neme: Stevan L. O'Brian Title: Consultant
Company Name: Environment, Inc.
Street: 7985 Vance Dr., Suite 205A
City : Arvada ,
State: Colorado Zip Code: 80003
Telephone Number: 1303 ) - 423-7297
Fex Number: ( 303 1 - 423-7599
INSPECTION CONTACT
Individual's Name: Ferd Mueller Title: Agent
Company Name: Same
Street:
City:
Stnte: Zip Code:
Telephone Number: ( 970 1 - 275-4275
Fax Number: ( 970 ) - 269-1033
CC: STATE OR FEDERAL LANDOWNER (if enyl
Agency: Board of Land Coimni ssioners (Stets Land Boardl
Street: 1313 Sherman St,
City:
State:
Ares Code: (3031
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency: Not applii
Street:
City:
State:
Zip Code: 80213
Telephone: [phone]
zip Code:
Area Code: Telephone: