2001-09-14_REVISION - M1986010

• Permit No: M1986010
• IBM Index Class Name: Revision
• Doc Date: 9/14/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATIONFORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

14. . Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)�/ S
Contacts Name: AAQIOA, r '° yT`/ROAJ20 of aY�lA1/�"1id
Company Name: 7' CMIA/rY
Street: 6/S IW-469AI RyE
City: C4,yeN C/7Y
State: COZOR.QDo Zip Code:
Telephone Number: 70]-
Fax Number: ( ?/9 1- .? VS—
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: ,O�VrIVAI&7 1 Z XeC'G' Title: (fO4Se1e71A16' 66V4—^ '15r
Company Name: APU2/re- /NC .
Street; /Goo CR /2 P� �X 33 F
City: COroP�4.1,
State:,' raz c RADo Zip Code: FI Z23
Telephone Number 7/p - P5"Z
Fax Number: (
INSPECTION CONTACT
Contact's Name: Title: 60u56477.VC' GEc1o6/-spr
Company Name: 4zoRire we
Street: /OC1 t3/ C2 12, . Po &A- 338
City:
State: Colo RA I� Zip Code: I?/z 2 3
Telephone Number: /q yZ —y/ F
Fax Number: 2 — y!
CC: STATE ORFEDERAL LANDOWNER(if any
Agency: --
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency.
Street:
City.
State: Zip Code:
Telephone Number: ��-