PERMFILE108084

• Permit No: M2006016
• IBM Index Class Name: Permit File
• Doc Date: 2/17/2006
• Doc Name: Inadequate copies of signature page
• From: McStone Agrregate LLC
• To: DMG
• Media Type: D
• Archive: No

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1 I. ['~rn~Opgle~ ace Intormadoa:
APPi ICANT/OPERATOR (name, address, end Phone of Dame to be used on permit)
ContacPs NBLIK: J1AC/C:a1 CTr1WC n rwcev ^~..r•i e~ju Title: seeunreoe
Company Name: ~~ r•n.,~re, wi+~±ntv±eTS++r~L~ -
Street/P.O. Box: P.O. Box: d°s
City:
State: COLORADO Zip Code: _n+sr+
Telephone Number: (_ am ) -
Fax Number: I 970 ) - 565 2603 (~I first 6efnrn sandine,.EAx)
PFRAAITTiNO CONTACT (if different 6om epplicmUoperator above)
ConteeYs Name:
Compmry Name:-
StroetfP.O. Hox:
City:
State:
DOUGLAS L CONGER Title: G Ot naisT
GFALOGICAL 3ERS1ICE8
711 HARTMAN ROAD P.O. Box:
CORTEZ
COLORADO
Zip Code: 81321
Telephone Number: ! 9701- 565 8'+06
Fax Number: ( 9701- 565 8394 (call first[
INSPECTION CONT®CT
Contect'sName: DAREN STONE Title: MANAGER
Company Name: McST'ONE AOGREC~TEc LLC
Stroet/P.O. Box: P.O. Box: X83_
City: CORTEZ
State: COLORADO ZiP Code
Telephone Number: ( 970 1 _ b65- 2603
Fax Number. ( 970 1 _ 565- 2603 (call first)
CC STATE OR FEDERAL LANDOWNER (if amt
Agency:
Street:
City:
State:
Telephone Number:
Zip Code:
r~~ STATE OR FEILIItAL LANDOWNER (if am)
Agency:
S[red:
City:
State:
Tdephone.Number:
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aM.o. ++z wPa ~raNS swr+nsrowe
Code: