REV11596

• Permit No: M1977197
• IBM Index Class Name: Revision
• Doc Date: 5/17/1999
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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19. Correspondence Information: .
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Gary Reed Title: Quality Control
Company Name: A & S Construction Co.
Street: 839 MacKenzie
City: ('annn Ci}~
State: C`n7nrar7r~ Zip Code. 81212
Telephone Number: ( 719 ) - 775-4555
Fax Number: ( 714 ) - 775 - AA47
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Llovd V. "Buck" Barnhart Title: Cosultant
Company Name: Barnhart Agency. Inc.
Street: 212 W. 13th St.
city: Pueblo
State: Colorado Zip Code: 81003
Telephone Number: ( 719 ) - 543-1324
Fax Number: ( 719 ) - 543-1329
INSPECTION CONTACT
Contact's Name: Cary Reed Title:_Quality Control
Company Name: A R C C`nnc}rein}inn !`n
Street: 839 MacKenzie
City: Canon City
State: Colorado Zip Code: _81212
Telephone Number: ( 719 ) - 275-4555
Fax Number: L 719 i - 275-8897
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: SI14
Street: 3170 East Main
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number: ( 719 1 - 269-8512
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State:
Telephone Number: ( ) -
Zip Code: