2005-02-01_REVISION - M1981075 ‎(2)‎

• Permit No: M1981075
• IBM Index Class Name: Revision
• Doc Date: 2/1/2005
• Doc Name: Inadequate Amendment Appl Pkg
• From: DMG
• To: Cherylin Vandergrift LLC
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-2-
6. Correspondence Iatormatlon:
APPLICANT/OPERATOR (name, address, and phone of name to be used on pe[mit)
Contact's Name: Robert or Frances Phillips Title: Owners
,..,-..Company Name: Phillips Stone Company, Inc, "
Street/P.O.Boz: 7850 Ute Hwve ~ P.O.Box:
Longmont
city:
State: CO zip Code: 80503
Telephone Number. (303 ~_ 823-6395
Fax Number. ~f~ 303 1- 485-2706
PE_7tht17TING CONTACT (if differem from appticant/opetator above)
Contact's Name: Cheri Vandergrift Titte: Atty,
Company Name: Cher~in K. Vandergrift. LLC
strat/P.O.Box: 350 Indiana Street, Suite 150 p,o.Box: ~ -
City: Golden
State: CO Zip Code: 80401
Telephone Number. L'~03 1- 271-0222
Fax Number: ( 303 ~: 271-0101
INSPECTION CONTACT
ContacPsName: Robert ~x Phillips Tine: Owner
Company Name: Phillips Stone Company, Inc,
Sheet/P.O.Box: 7850 Ute Hwy, ~ P.O.Box:
Longmont
City:
Smte: CO ~ Zip Code; 80503
Telephone Number.. ( 303 ~_ .823-6395
Fax Number: ( 3'03 )- ' 485-2706

CC: -STATE OR FEDERAL LANDOWNER (if and
Agency: N/A
Sheet:
City:
State:
Telephone Number:
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency: N/A
Street:
City: _
State:
Telephone Number. ( - I -
-3-
Zip Code: