2002-08-20_REVISION - M1977344

• Permit No: M1977344
• IBM Index Class Name: Revision
• Doc Date: 8/20/2002
• Doc Name: Additional Information Needed
• From: Holcim ‎(US)‎ Inc.
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

14. Correspondence information:
3-
APPLICANT/OPERATOK (name, address, and phone ofname to be used on permit)
' _.,,
Contact's Name: ~'.'endi Abbott ~ Title: Ouam~ Mana,er
Company Name: Holcim (USl inc
Street: 3500 State Hiehwav I20
Cibj: Florence
State: Colorado Zip Cede: 51226
Telephone Number. ( 719 1 - 7S4 - 6325 ext. 121 1
Faz Number. ( 7l9 1 - 784 - 1213 ..
PERhffFTIDIG CONTACT (if different from applicandoperator abov=)
Contact's Name: ~ Title: '
Company Name: -
Street:
Ciry:
State: Zip Cote:
Telephone Number ( 1 - -
Fax Number: ( 1 -
~INSPECTION CONTACT
Contact's Naume: ~~'endi Abbott Title: Ouamltanaser _
Company Naae: Holcim lliSl Inc. -
Street: 300 State I-hshwaV 120
C iy: F lor=_nc=
State: Colorado Zip Ccce: S122o
Telephone Number: ( i 19 1 - 751- c325 ext. 12? 1

FaeN~!mber: ( 719 1- iS1-1213 _.

CC STATE 02 FEDERAL Lo\~O~l'~-ER (i; zm1
A~enc.: Tide:
Streee -

Cir
: All~_z n~
j
S„te: Zip Cc_°
Division at Minerals and GealoBV
Telephone Number: ( 1-
CC: STATE OR FEDER=.L L.a~70':e'~TR (i(zrvl
a ~=rcV: Tides:
Stteer

Ci:~:

nr
Zip_Ccce:--- -- - __. --
Telephone Number: ( 1 -
Pramorlt COrISOfVaflOrl ~l$trici
248 17ozi2r Ave.
Canon Cii),', Colorado 81212 ~"
Phone [phone] Ext 101