2007-02-22_REVISION - M1996008

• Permit No: M1996008
• IBM Index Class Name: Revision
• Doc Date: 2/22/2007
• Doc Name: Amend Appl
• From: Greg Lewicki and Associates
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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11. Corresvondevice Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on pemrit)
Contact's Narne: Judy Devincentis Title: Manager
Company Name: Western Grevel, Inc.
Street/P.O. Box: 3001 N. Townsend Avenue p.0. Box:
ciTy, Montrose
state: CO Zip c~.81401
Telephone Number: { 970 ~ _ 249-243t
Fax Number: { 970 ~ _ zas-osso
PERMITTING CONTACT (if ditTerrnt from applicanUoperator above)
Contact's Name: Greg Lewicki Title: Manager
Company Name; Greg Lewicki and Associates, PLLC
Street/P.O. Box: 11541 Warrington Court p.0. Box:
City: Parker
Slate: CO Zip Coda: 80138
Telephone Number: ( 303 ~ _346-5196
Fax Number: ( 303 l _ 346934
INSPECTION CONTACT
Contact's Name: Judy DeVincentis Tide: Manager
CompanyNarrx: Western Gravel, Inc.
Street/P.O. Box: 3001 N. Townsend Avenue p,0. Box:
city: Montrose
State: CO Zip Code: 81401
Telephone Number: (970 ~ _ 249-2431
Fax Number. { 970 ~ _ 249-0590
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:
City:

State: Zip Code:

Telephone Number; ( ) -

CC: STATE OR FEDERAL LANDOWNER (if anyj
Agrncy:

Street:
City:

State: Zip Code:

Telephonc Number: f ) -