REV10163

• Permit No: M1981014
• IBM Index Class Name: Revision
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

_..' . ..
_Z_
9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
• Individual's Name: Thomas Brubaker
- Company Name: Valco, Inc.
Street: P o sox sso
City: Rocky Ford
State: Colorado Zip Code: 81067
Area Code: 719 Telephone: 254 - 7464
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: George Gregg
Company Name: Valco, Inc. - Gunnison Concrete Division
Street: P.O. Box 837
City: Gunnison
State: Colorado Zip Code: 81230
Area Code: 303 Telephone: 641 - 0951
INSPECTION CONTACT
Individual's Name: George Gregg
COmpdny Ndme: Valco. Inc. - Gunnison Concrete Divsion
Street: 1681 Gold Basin Road (CR #38)
City: Gunnison
State: Colorado Zip Code: 81230
Area Code: 303 Telephone: 641 - 0951
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Ztp Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Area Code: Telephone: