REV16905

• Permit No: M1978172
• IBM Index Class Name: Revision
• Doc Name: EXHIBIT Q PROOF OF MAILING NOTICES OF PERMIT APPLICATION ANTELOPE HILL GRAVEL PIT
• Type & Sequence: AM1
• Media Type: D
• Archive: No

• -Z- •
9. Corres~landence Information; '
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
I,~dividual's Name; DONNA R. FERGANCHIGK
Company Name: __ BOARD OF D ELTA COUNTY COlnliSSInHFRs
.
Street: DELTA COUN TY COURTHOi iSF - 501 7AT AfFR
City: DELTA,
Slate: COLORADO Z1p Code: R1G1 (.
Area Code: q70 Telephone: 874-.iioo
PERM I7 TING CONTACT (if different from applicant/operator above)
Individual's Name: CAROLYN CLEllENS OR JOHN TIl1BREZA
Company Name: DELTA COUNTY
;itreet: DELTA COUNTY COURTHOUSE - 501 PALltER ST.
(:ity: DELTA
:Mate: COLORADO Zip Code: A1416
Area Code: ego Telephone: 874-zlDa
INSPE(:TION CONTACT
Individual's Name: JOHN TI2IBREZA . DISTRICT 04
:ompany Name: _DELTA COUNTY
Street: _D ELTA COUNTY COURTHOUS - 501 P lF.R ST.
City: DELTA
Slate: COLORADO Zip Code:, A1416
Area Code: 9~o Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Area Code: Telephone:
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (1f any)
Agency:
Street:
City:
State:
Zip Code:
Area Code: Telephone: