PERMFILE101951

• Permit No: M2004078
• IBM Index Class Name: Permit File
• Doc Date: 12/9/2004
• Doc Name: 112c New Appl
• From: SW TKO Joint Venture LLC
• To: DMG
• Media Type: D
• Archive: No

-3-
14. Correspondence Information:
APPLICANTfOPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: MARK D. CAMPBELL or. RIISS OTTERSTEIN Title: MANAGERS..
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
SW T%0 70I1~_VENTURE, LLC
333 W.~ BAMPDEN AVE. , STE. 810 P.O. Box:
COLORADO Zip Code: 80110
1303 1_ 534-1040 (Mr. Campbell)
( 303 I _ 534-6700
PERMITTING CONTACT (if different from applicanVoperator above)
Contact's Name: DANNA ORTIZ Title: PT.ANNRR
Company Name: CIVIL RESOIIRCES, LLC
Street/P.0.Box: 451.UAK`~STi; STE. 209 P.O.Box: 680
City: FRIDERICK
State: COLORADO Zip Code: 80530
Telephone Number: X303 )-_ 833-1416, ext. 3#
Fax Number: (303 ) - 833-2850
INSPECTION CONTACT
Contact's Name: RRTC RF.('KILNTTNR Title: COLORADO LAND MANAGER
Company Nam e: LAFARGE WEST. INC.. A SUBSIDIARY OF LAFARGE NA
Street/P.O. Box: 1400 WZ 6th AVE. P.O. Box:
City: DENVER
Slate: COLORADO Zip Code: 80221
Telephone Number: ~ 303 l- 657-4330
Fax Number: ( 303 I _ 657-4037
CC: STATE OR FEDER AL LANDOWNER of anvl
Agency:
Street:
Ciry:
Stale: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER of anvl
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -