2005-07-13_REVISION - M2000016 ‎(30)‎

• Permit No: M2000016
• IBM Index Class Name: Revision
• Doc Date: 7/13/2005
• Doc Name: Application form cover and table of contents
• From: lafarge
• To: dmg
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-~-
]4. Correspondence lnformatioo:
APPLICANT/OPERATOR (name, address, and phone of name [o be used on permit)
Contact's Name: Tan Smi rh
Company Name:
StreeUP.O. Box:
City:
State:
Telephone Number:
Fax Number:
Ti[le:_ Reno al M^ gr
-baia~ec~TT * ,.
10170 Cjturch Ranch Way Suite 200 P.O.Box:
' ""~"^^ Zip Code: 80021
{ 303 ~_ 657-4000
{ 303 1- 657-4172
PERMITTBJG CONTACT (if different from applicant/operatorabpve)
Contact's Name: Eric Reckentine Land and Leasing Manager
Title:
Company Name: Lafarge West, Inc.
Street/P.O. Box: _ 10170 Church Ranch Way ~ Suite 200 P.O. Box:
City: -Gtacr i r
State: Colorado Zip Code: 80021
Telephone Number: { 303 1- 657-4330 BB5 5~i~~
Fax Number: ~ ~
INSPECTION CONTACT
Contact's Name: Revin Moore Title: Operations Manager
Company Name: a a ee Wes__ t_7~
Street/P.O. Box: __Lnt 7n rt. F R- h [ c 200
P.O. Box:
City: Westminster
State: Colorado Zip Code: 80021
Telephone Number ( znz T_ cc~ ...,...,
Fax Number: { 303 I_ 657-4037
CC: STATE OR FEDERAL LANDOWNER of anvl
Agency: Np
Street
City:
State:
Telephone Number: { ~ _
Zip Code:
CC: STATE OR FEDERAL LANDOWNER {if anv)
Agency: NA
Street:
City:
State:
Telephone Number: { ~ _
Zip Code: