PERMFILE111364

• Permit No: M2000018
• IBM Index Class Name: Permit File
• Doc Date: 2/7/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Richard Snook Title: County Administrator
Company Name: Cheyenne County Commissioners
S:.-;.,: P.O. Sox 567
City: Chevenne Wells
State: Colorado Zip Code: 80810
Telephone Number: 71c 9 ~ _ 767-5872
Fax Number: 71( 9 ~ - 767-5540
PERh71TTING CONTACT (if different from applicant/operator above)
Individual's Name: Same as Applicant(Operator Title:
Company Name:
Street:
City:
State: Zip Code:
Telephone Ntunber
Fax Ntunber:
INSPECTION CvN t ACT
Individual's Name: Title:_
Company Name:
Street:
City:
State: Zip Code
Telephone Number
Fax Number:
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State: Zip Code:
Telephone Number
CC: STATE OR FEDERAL LANDOWNER (ifanv
Agency:
Street:
CIN:
State:
Zip Code:
Telephone Number: ( 1 -