2005-04-01_REVISION - M1998019

• Permit No: M1998019
• IBM Index Class Name: Revision
• Doc Date: 4/1/2005
• Doc Name: New Conv Appl
• From: Grand Gravel
• To: DMG
• Type & Sequence: CN1
• Media Type: D
• Archive: No

-3-
14. Correaoondeocelnf ormatlon:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
ContacPsName. Richard E. or Thomas E. Curry Tide; owner & son
Company Name:
Grand Gravel
~

StrceUP.O: Box: P.O. Box: 5 6 6
City: Hotchkiss
Stiam; . Colorado ~ Zip Code; 81419
Telephone Number. ( 970 )- 872 3545
Fax Number:. ( 1-
PERMITTINO CONTACT (iPdifferent from applicaat/opemtor abovo)

Contacts Name: Title:

CompanyName:

Street/P.O. Box: ' P.O. Box:

. City:. ,
State:
Telephone Number:
. Fax Numb: r
INSPECTIOJ~I~QTITACI'
Zip Code:
ContacPsName: Richard E or Thomas E. Curry .Title; owner & son
_.CompanyName;' Grand Gravel
~Stteet/P.O.Box:. 1167 County Road 2 p,p,Box; 236
Cy~,.<':': _ Kremmiing
_State: Colorado Zip Code:, RnaSa
TelephoneNumber: '.( 9 70 1- 7 24 3 2 2 8
Fax Number: ( 1- '
CC: STATE OR~PEDERAL LANDOtYNER (if soul
Agency:
Stteeu:.
Zip Code:

'City:
State: ~ Zip Code:
Telephone Number: i = 1-