PERMFILE101537

• Permit No: M1997027
• IBM Index Class Name: Permit File
• Doc Date: 5/6/1997
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-3-
14. Correeoondence Information:
APPLICANT !OPERATOR (name, addreee, and phone of name to be used on permit)
contact's Name: Michael Folkerth Titie: Partner
Company Name:
Street:
City:
Moonscape Partners ).I.P
1464 G. Road
Delta
state: Colorado zip code: 81416
Telephone Number: / 970 \ - 874-4634
Fax Number: r 970 \ - 874-8489
IITTING CONTACT (if different from applicant/operator above)
Individual's Name: Brian W. Wilson Title: Manager
company Name: Earth / Stone Ltd.
Street: P.C. Box 781
city: lle ltd
state: Colorado zip code: 81416
Telephone Number: ( 970 \ - 874-518 3
Fax Number: r 970 ~ _ 874-5183
INSPECTION CONTACT
Individual's Name: Michael Folkerth
company Name: Moonscape Partners LLP
street: 1464 G. Road
city: Delta
state: Colorado zip code: 81416
Telephone Number: ( 970 ~ - 874-46 34
Fax Number: r 970 1 - 874-8489
CC: STATE OR FEDERAL LANDOWNER (if anv\
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1 -
CCe STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: