2006-07-19_REVISION - M1987027

• Permit No: M1987027
• IBM Index Class Name: Revision
• Doc Date: 7/19/2006
• Doc Name: 112c application
• From: Colorado Quarries Inc
• To: DMG
• Type & Sequence: CN1
• Media Type: D
• Archive: No

3-
Il. Corresmomdencelnformatlon:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Bill Tezak
Title: President
Company Name: Colorado nuarries,~nc
SVeetlP.O. Box: 77f1 S 15th SrYPPt P.U. Box:
City: Canon City
State: CO 'Lip Code: 81212
Telephone Number: (719 1- 275-6894
Fax Ntanber: { 719 ) - 275-2131
PERMITTING CONTACT (if ditTerent from app]icanUoperator above)
Contact's Name: SAME
Company Name:
Street/P.O. Box:
Ciq~:
State:
Telephone Numher: ( 1-
Fax Number: ( 1- _ _. -
INSPECTION CONTACT
Title:
P.O. Box:
Contact's Name: SAME Title:
Compatry Nomc:
SveetlP.O. Box:
City:
State:
Telephone Number: { ) -
Pex Number: { 1 -
CC: STATE OR FEDERAL LANDO W NER (if any
Agency: NONE
Street:
City:
State:
Telephone Ntunber: ( 1-
CC~ STATE OR FEDERAL LANDOWNER (if and
Agency: NONE
Street:
Cih':
State:
Telephone Number: ( ~ -
Zip Code:
P.O. Box:
Zip Code:
Code:
Zip Cale: