PERMFILE109612

• Permit No: M2005032
• IBM Index Class Name: Permit File
• Doc Date: 5/9/2005
• Doc Name: 110 Permit Application
• From: Sprague Scraper Service Inc
• To: DMG
• Media Type: D
• Archive: No

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6. Corresoondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Jeffrey Sprague Title: Owner/Operator
Company Name: _~yrague Scraper Service, Inc.
Street/P.O. Box: 610 Ellis Ave. P.O. Box:
City: Wray
State: cn Zip Code: 80758
Telephone Number: ( 970'' 1- 332-SR07
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicantloperator above)
Contact's Name: Randy Schafer Title: Consultant
Company Name:
Sveet/P.O. Box: 40586 Co. Rd. 21 P.O. Box:
City: Haxtun
State: CO Zip Code: 80731
Telephone Number: ( 970 )- 854-3778 (Work) 970-774-6264 (Home)
Fax Number: ( 970 )- R54-3R11
INSPECTION CONTACT
Contact's Name:
Company Name:
Sveet/P.O. Box:
City:
State:
Telephone Number
Fax Number:
Teffray Srague Title:Owner/Qperator
Qrnragna Srrapar Sarvira~Tnc-
610 Ellis Ave. P.O.Box:
Wray
CO Zip Code: 80758
( 970 )- 332-5807
( )-
CC: STATE OR FEDERAL LANDOWNER (if an
Agency:
Sveet:
City:
State:
Telephone Number
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Sveet:
City:
State: Zip Code:
Telephone Number: ( ) -