2001-12-07_REVISION - M1983067 ‎(26)‎

• Permit No: M1983067
• IBM Index Class Name: Revision
• Doc Date: 12/7/2001
• Doc Name: APPLICATION FOR REGULAR 112 PERMIT AMENDMENT
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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14. Correaoondeoce Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used oL permit)
Contact's Name: Mr. Jolih.Hickman _ Title: Senior Land Manager
CompauyName: Mobile Premix Concrete* Inc. a subsidiary of Lafarge North America Inc.
Street: 1590 W. 12th Avenue
City: Denver
State: Colorado
Telephone Number: 3( 03 1 _ 657-4336
Fez Number: 3( 03 ~ _ 657-4339
PERMITTING CONTACT (if different from applicant/operatornbove)
Contact's Name: Paul Gesso
Company Name:
Strett:
City:
Stater
Telepbone Number.
Fax Number:
SPECTION CONTACT
Contact's Name:
Company Name: _
Street:
Zip ~ ode: 80204
Zip Cade:
City:
State:
Telephone Number. ~_~ -
FscNumber: L_~ _
CC~ STATEORFIDERALLANDOWNER(ifauy]
Agency:
Street:
City:.
State:
Telephone Number: ~~ -
CC: STATE OR FEDERAL LA WNER (if my)
Agency:
Street:
Banks and Gesso, LLC
720 Kipling, Suite 117
Lakewood
Colorado
3( 03~_ 274-4277
Principal
3( 03 1. 274-8329
Zip Cade:
Ciry:
State:
Telephone N®ber. L_1 _
Zip Code:
Zip Cade: