2004-07-08_REVISION - M1998054 ‎(2)‎

• Permit No: M1998054
• IBM Index Class Name: Revision
• Doc Date: 7/8/2004
• Doc Name: 112c Conversion Appl
• From: Rio Blanco County
• To: DMG
• Type & Sequence: CN1
• Media Type: D
• Archive: No

-3-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Coatact'sName: Mr. Stanley Rasmussen Title: Supervisor
ComparryNmme: Rio Blanco Countv Road & Bridge
Street/P.O.Box: 17497 Co. State Highway No. 64 P.O.Box:
City: RancLel~
State: Colorado Zip Code: 81648
Telephone Number: J 9 7 0 )- 6 7 5- 8 6 4 4
Fax Number. ( 970 )- 675-5211
PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: James W. Joy Title: President
CompsrryNatne: JSC, Inc./ Rio Blanco County Surveyor
StreeUP.O.Box: 646 Main Street P.O.Box: 1153
City: Meeker
State: Colorado Zip Code: 81 641
Telephone Number: ( 9 7 0 )- 8 7 8- 5 2 9 2
Fax Number: ( 970 )-878-5392
Contact's Name: Mr. Stanlev Rasmussen Title: Supervisor
Compa~+Nmme: Rio Blanco Countv Road & Bridge
StreeUP.O.Box: 17497 Co. State Highway No. 64 P.O.Box:
City; Rangely
State: Colorado Zip Code: 81 648
Telephone Number: ( 9 7 0 )- 6 7 5- 8 6 4 4
Fax Number: ( 970 )- 675-5211
CC: STATE OR FEDERAL LANDOWNER (if and
Agemy; Bureau of Land Management
Street: 73544 Co. State Highway No. 64 P.O. Box 928
City: Meeker
State: Colorado Zip Code; 81641
Telephone Number: ( 9 7 0 )- 8 7 8- 3 6 01
CC: STATE OR FEDERAL LANDOWNER (if a~
Agency:
Street:
City:
State:
Telephone Number:
Code: