REV13725

• Permit No: M1978172
• IBM Index Class Name: Revision
• Doc Date: 10/23/1995
• Doc Name: ANTELOPE HILL GRAVEL PIT APPLICATION TO AMEND EXISTING PN 78-172 TO INCLUDE ADDITIONAL ACREAGE
• From: DELTA CNTY
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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9. CorresFondence Information:
APPLICR,NT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: _ nnxxA R FERGANCHICK
Company Natne: BOARD OF D LTA CO[IN1'Y COltltT55T0 FRS
Street: nrT re rnI1NTV rnIIOTBN1cy - SO1 7ei.AfER
Ctty: DELTA
State: COLORADO Zip Code: RtGI[,
Area Code: 97Q Telephone: s~4-.2ioo
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: CAROLYN CLEHENS OR JOHN TLliBREZA
Company Name: DELTA COUNTY
;;treat: DELTA COUNTY COURTHOUSE - SOL PALlfER ST.
(:ity: DELTA
;Mate: COLORADO Zip Code: 81416
Urea Code: 9~o Telephone: [phone]

INSPE(;T ION CONTACT
Individual's Name: JOHN TIltBREZA, DISTRICT 04
company Name: DELTA COUNTY
Street: DELTA COUNTY COURTHOUSE - 501 Pt AlLER ST.
C1ty: DELTA
State: COLORADO Zip Code:, gt4l6
Area Code: 97D Telephone:

CC: STATE OR FEDERAL LANDONNER (if an y)
Agency:

Street:
City:
State: Zip Code:
Area Code: Telephone:

CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:
city:
State; Zip Lode:
Area Code: _ __ Telephone: