2003-04-04_REVISION - M2001090

• Permit No: M2001090
• IBM Index Class Name: Revision
• Doc Date: 4/4/2003
• Doc Name: Amendment Application
• From: Lafarge West Inc.
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

- 3 -
14. CorreanondenceInformation:
APPLICANTfOPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Garv J. Tuttle Title: Land Manager
Company Name: Lafarge West, Inc.
StreeUP.O.Box: 1590 W. 12th Avenue P.O.Box:
City: Denver

State: CO
Telephone Number: ( 303 )_ 657-4336
Fax Number: ( 303 )- 657-4339
PERMITTING CONTACT (if different from applic~Vaperator above)

Contact's Name:
Company Name:
StreeUP.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
StreeUP.O. Box:
Gary J. Tuttle
up Code: 50204
P.O. Box:
Zip
Title: Land Manager
i.afarge L4est Inc.
1590 W, 12th Avenue p,O. Box:
Clty: t~Pll\1PY
State: CO Zip Code: 802 04
TelephoneNnmber: (~03 1-E,,s~_433F
Fax Number: ( 303 1 _ 657-4339
CC: STAT£ OR FEDERAL LANDOLVNER (if any]
Agency:
Street:
Ci'ti
State:
Telephone N~ber: ( 1-
CC: STATE OR FEDERed, LATdDOWNER (if anv~
Agency:
Street:
City:
State:
Zip Code:
Zap Cade:
Telephone Number. ( ) -