2000-03-31_PERMIT FILE - M2000002

• Permit No: M2000002
• IBM Index Class Name: Permit File
• Doc Date: 3/31/2000
• Doc Name: PARTY STATUS REQUEST FORM
• Media Type: D
• Archive: No

MRP. 29 '00 12:06 TO-3036283831 FROM-GP,EENTREE --831 P.01/03 F-025
~. ;- ~ III I II I II I II IIII III ~INED LAND RECLAMATION B(~D
sss
PARTY STATUS REQUEST FORM
In the matter of File No. M-2004 002 , petmitlPetmh Amendment Application.
Name of OperatorlApplicantand5ite: Mobil Premix Concrete, Inc. -Tanabe Pit
X I request that I be mmed as a parry ~~ri~~`/~[}
_ I request that I ~ be named to a party MAR 31 2000
I request to be withdrawn from party status Division of P,4inerab & Geolo;;y
I undetsUad that if I am not a party, my statemenb of concern or objection to this
application will nQt he considered during the review of the application, but 1 may addrccc
the Hoard on this matter at the Itoal hearing, and may present my concerns as an
interested member of the public.
For people who do not wisb to become parties in this matter, information oo permit
npplieation ctatas can be requested from the Division of Miaen4 and Geology.
David J. Younggren for Gary-Williams
PtintedName ea sate,
370-17th Street #5300
Address
Denver, CO 80202
City, State Zip Cade
X303} 762. 6025
Inc . Home Phone tl
~ 303T 628 - 3800
Work Phone N
3031 628. 3831
FAX tl
3/29/00
Date
are requntine to be named w a party, please briefly describe below:
1. how you may be affected or aggrieved by the Board's decision in the matter reCerencrd above,
2. your opposition to ttte matter, including a specific deswiption of the issues that you feel need
to be addressed a[ the final heating. (You rosy attach a written statement to this form ins[ead
of using the space below.)