PERMFILE110003

• Permit No: M2001052
• IBM Index Class Name: Permit File
• Doc Date: 5/14/2001
• Doc Name: REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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14. Correapondevice nformation:
APPLICANT/OPE2ATOR (name, address, and phone of name to be used on permit)
Contact's Name: DANIEL L. GRASSER Title- PRESIDENT
Company Name:
Street:
city:
State:
Telephone Number: 1__719 )- 348-5383
Fat Number: ( 719 1- 348-5931
PERMITTING CONTACT (if different liom applicanUoperator above)
CovtacYs Name: Title:
Company Name:
SVeet:
City:
State:
Telephone Number.
Fax Number:
INSPECTION CONTACT
GRASSER CONSTRUCTION, INC.
18071 Co. Rd. 31 P. 0. Box 192
Stratton ': .. ~ _°
ADO
Zip Code: 8 0 8 3 6
Zip Code:
Contact's Name:
Company Name
Street:
City
State:
Telepbone Number: ( 1-
Fax Number: ( 1-
CC STATE OR FEDERar a g (f vl
Agway:
Street:
Cirv:
State: Zip Code:
Telephone Number: ( t -
CC STATE OR DFRAt LA NNERfi'my]
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) _
Code: