2004-01-16_REVISION - M1986061

• Permit No: M1986061
• IBM Index Class Name: Revision
• Doc Date: 1/16/2004
• Doc Name: Amendment Application
• From: Oldcastle SW Group Inc dba Four Corners Materials
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

3-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: /~Dr'GQ T/y%~iC _ Title: A ~K ~Q~Ge/"
Company Name: Dldr~S~le SW G~DUp~.Inc.dba GGYi~~ners Mcr1~~,(als
Box:
street/P
o 25825 Nwv /~a P.o. Box: ~ o. Bo x .270'7
.
.
City: ~, ~rnnnn _
State: GO Zip Code: 8/3D,2-270']

Telephone Number: ( 970 ) - 247~.Z/72

Fax Number. ( 91 D ~ _ ,~59- 3G 3/

PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: l~°n N(/~/Cr Title:
Company Name: ~iz°G .(-eW%CfC1 Cl~ L~~SSCNJLTf2S
streeUP.o. Box: //541 Wa~~incfDn Cou~F P.o. sox:
city: Par-ker-
State: CD Zip Code: fja/3g'
Telephone Number: ( 30 3 ) - 346 -5/ 9~
Fax Number: ( 3D 3 ) - 34G -(0 939

INSPECTION CONTACT
Contact's Name: SjQr'GR TLi~ViiLl~7: Title:
Compaq Name: rSBA O/,p~~iji' /n{py OfbYP
StreeUP.O. Box: P.O. Box:
City:
State:
Telephone Number: ( 1-
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
Street:
City:
Slate: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any]
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1 -
Zip Code: