REV101895

• Permit No: M1977062
• IBM Index Class Name: Revision
• Doc Date: 1/18/1994
• From: BENSON BROTHERS
• To: DMG
• Type & Sequence: CN1
• Media Type: D
• Archive: No

-2-
•
. Correspondence Inf ormation:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Ndme: Dwight D. Benson S. T. Edward Benson dba/
COmpdny Ndme: Benson Brothers Truck S Equipment
Street: 2138 J-50 Road
City: Austin,
State: Colorado Zip Code: 81410
Area Code: 303 Telephone: [phone]

PERMITTING CONTACT o f different from applicant/ operator above)
Individual's Name: same
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:

INSPECTION CONTACT
• Individual's Name: same _
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:

CC: STATE OR FEDERAL LANDOWNER (if an v)
Agency: N1A
Street:
City:
State: Zip Code:
Area Code: Telephone:

CC: STATE OR FEDERAL LANDOWNER (if an y)
Agency: N/A
Street:
City:
• State: Zip Code:
Area Code: Telephone: _