2007-11-07_REVISION - M1997027

• Permit No: M1997027
• IBM Index Class Name: Revision
• Doc Date: 11/7/2007
• Doc Name: Submittal
• From: A. J. Botti Construction & Gravel
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Andrew J. Botti
Corrq~any Name: A.J. Botti Construction and Gravel
StreeNP.O. Box: 4608 Sundown Road
City: Delta
State: Colorado
Telephone Number: { 970 ) _ 874-8141
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicanNoperator above)
Contact's Name: Michael Ripp
Company Name: MVR Resources, Inc.

Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Title: Owner
P.O. Box:
Zip Code: 61416-9107
Title: Consultant
P.O. Box: 54
Delta
Colorado
( 970 )_ 874-5127
( 970 )_ 874-3161
Andrew J. Botti
A.J. Botti Construction and Gravel
4608 Sundown Road
Delta
Colorado
Title: Owner
P.O. Box:
Zip Code: 81416-9107
Telephone Number: ( 970 ) _ 874-8141
Fax Number: [ ) -
CC: STATE OR FEDERAL LANDOWNER (if aqy]
Agency: ~_
Street:
City:
State:
Zip Code:
Telephone Number: ( ) - _
CC• STATE OR FEDERAL LANDOWNER of any)
Agency:
Street.
City:
State:
Telephone Number: ( t -
Zip Code: 81416
Zip Code: