2006-12-04_REVISION - M1979195

• Permit No: M1979195
• IBM Index Class Name: Revision
• Doc Date: 12/4/2006
• Doc Name: Tsf of Permit and S.O. application
• From: Denver Water Department
• To: DRMS
• Type & Sequence: SO1
• Media Type: D
• Archive: No

2-
II. AllMIIVISTRATIVE INFORMATION:
1. Perini[ Number:
2. Operation Name:
3. Cgrregt Permitted Operators
Contact Person:
,Company Name:
street:
city:
state:
Area Code:
4. Successor Ocerator:
Contact Person;
Company Name;
Street:
CiTy:
State:
Area Code:
IRS Tax ID No. or Social Security No.:
M-1979-195
Road Runner Rest II
Dean H. Craft
Suburban Sand and Gravel Co.
5400 Fentori St.
Arvada
Colorado
r~n~~
Zip Code: 80002
Telephrone: 421-0720
Chief of Engineering
Denver Water Dept.
1600 W. 12th Avenue
Denver
CO Lip ~~. 80204
303

Telephone: [phone]'
5. Anolfcation Fee: $100.00 for Hard Rock operations; $!25.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety