REV07465

• Permit No: M1979192
• IBM Index Class Name: Revision
• Doc Date: 10/12/1999
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

-3-

19.~ Corresoondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Mike Vidal Title: General Manager
Company Name: Peter lien & Sonc. Tnr Aha Tranc-rolorado ('on ret
Street:
City:
State:
Telephone Number
Fax Number:
PERMITTING CONTACT
Contact's Name:
Company Name:
Street:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
South Dakota zip Code: 57709-0440
( 605 ) - 394-7240
( 605 ) - 394-7246
(if different from applicant/operator above)
Lecia Craft Title: Environmental Engineer
Pete Lien & Sons, Inc dba Trans-Colorado Concrete
Rapid City
South Dakota Zip Code: 57709-0440
( 605 ) - 394-7228
S 605 ) - 394-7246
Contact's Name: Victor E. Land Title: Manager
Company Name: Pete Lien & Sors, Inc dba Tr~.cis Colorado Concrete
Street: 3370 Dre~inan Industrial Loop North
City: Colorado Strings
State: Colorado Zip Code: 90910
Telephone Number: (719 ) - 49°-0559
Fax Number: (719 ) - '~97-Q7G0
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) - _
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State:
Telephone Number:
Zip Code: