PERMFILE113113

• Permit No: M2004038
• IBM Index Class Name: Permit File
• Doc Date: 5/24/2004
• Doc Name: 110c App and Exhibits
• From: Rio Blanco County
• To: DMG
• Media Type: D
• Archive: No

3-
]4. Correspondence Information:
APPLICAN'T'/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Mr. Stanley Rasmussen Title: Supervisor
Company Name: Rio Blanco County Road & Bridge
StreeUP.O.Box: 17497 Colorado State Highway 64 P.O.Box:
City; Rangely
State: Colorado Zip Code: 81 648
Telephone Number: I 9 7 0 ~- 6 7 5- 8 6 4 4
Fax Number: ( 970 ~- 675-5211
(if different from applicanUoperator above)
Contact's Name:
Company Name:
Street/P.O. Box:
Title:
City:
State:
Telephone Number: ( ] -
Fax Number: f .) -
INSPECTION CONTACT
P.O. Box:
Zip Code:
Contact's Name: Mr. Stanley Rasmussen Title: Supervisor
CompatryName: Rio Blanco County Road & Bridge
StreeUP.O.Box: 17497 Colorado State Highwav 64 P.O.Box:
City; Rangely
State: Colorado Zip Code: 81 648
Telephone Number: ( 970 ~- 675-8644
Fax Number: ( 970 ]- 675-5211
CC: STATE OR FEDERAL LANDOWNER (if an
Agency: Bureau of Land Management
Street: 73544 Colo. State Highwav 64 P.O. Box 928
City: Meeker
State: Colorado ZinCode: 81641
Telephone Number: ( 970 )_ 878-3601
CC: STATE OR FEDERAL LANDOWNER (if and
Agency:
Street:
City:
State:
Telephone Number: ( ) -
Zip Code: