2001-12-07_REVISION - M1983067 ‎(33)‎

• Permit No: M1983067
• IBM Index Class Name: Revision
• Doc Date: 12/7/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

~.
14. Corresmondemce Information:
APPLICANT/OPERATOR (creme, address, and phone oY' name to be used o~ permit)
~~ Contact's Name: Mr. Jolitt Hickman Title: Senior Land Manager
e Company Name: Mobile Premix Concrete Inc. a subsidiary of Lafarge North America Inc.
Street: 1590 W. 12th Avenue
City: Denver
State: Colorado
Zip i ode: 80204
Telephone Number: 3( 03 1 _ 657-4336
Fax Number: 3( 03 1. 657
PERMITTING CONTACT (if difl'erent hom ap~ltcanf/operator above)
(~ /1 Contact's Name: Paul Gesso Title: Principal
vk1 Company Name: Banks and Gesso, LLC
! ``~~ Street: ~ 720 Kipling, Suite 117
~W~~~ City; Lakewood
Stater
Telephone Nvmber:
Fax Number:
INSPECTION CONTACT
Contact's Name
Company Name
274-4277
274-8329
Zip Code:
Street:
City:
State:
Zip Code:
Telephone Number: ~~ _
Fax Nttmber: j_~ _
CC STATE ORFEDERAI LANDOWNER (if atry]
Agency:
Street
City:
State:
Zip Code:
Telephone Number: ~~ -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number. ~~
Colorado
3~~-
3( 03 1-