2007-10-26_REVISION - M1980110

• Permit No: M1980110
• IBM Index Class Name: Revision
• Doc Date: 10/26/2007
• Doc Name: Amend Appl- Updated Info.
• From: Civil Resources
• To: DRMS
• Type & Sequence: AM5
• Media Type: D
• Archive: No

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[ (. Carresoondence Information:
APPLICANTIOPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: _ Jeff Gregg
Company Name: _ Hall-Irwin Corporation __________~
StreeVP.O. Box: 301 Centennial Drive
Title: Resource Manager
P.O. Box:
City: _ Milliken ______ ___ ____~
State: Colorado 80543
Zip Code:
_____
_ _
'Celephone Number: 970 ~ _ 587-7200
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Fax Number; ~ 970 ~ _ 587-6284 -_-
PF,RMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Danna Ortiz 'Title: Planner

Company Name: Civil Resources LLC
_
Street/P.O. Box; 323 Fifth Street P.O. Box: 680
City: _ Frederick

State: -Colorado "1.ip Code: _ 80530
Telephone Number: (_ 303 ~ - - 833-1416 ext. 203 __ _
Fax Number: j_ 303 ~ - .833-2850

LNSPECTION CONTAGf

Contact's Name: Jeff Gregq 'T'itle: Resource Manager
Company Name: _ Hall-Irwin Corporation
StreetP.O. Box: 301 Centennial Drive P.O. Box:
City: _ Milliken
State: _ Colorado Z,ip Code: 80543

'Celephone Number: ~ 970 ~ _ _ 587-7200
~_
Fax Ntunber; (- 970 ~ _ _ 587-6284

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