PERMFILE113428

• Permit No: M2000037
• IBM Index Class Name: Permit File
• Doc Date: 3/9/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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14. Corresuondance Iaformatioa:
APPLICANT/OPERATOR (name, address, and phone of name to be used on pezmit)
Contact's Name: Mr. Stanley Rasmussen Title: Supervisor
company Name:11Q Rio Blanco County Road and Bridge_
street: r ` 17497 Colo. State Highway no. 64
City: Ranaely
State: Colorado Zip Code: 81648
Telephone Number: ( 970 ) _ 675-8644
Fax Number: ( 970 ) - ~ 7 ~ 5211
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Title:
Company Name: C I
Street:
City:
State: Zip Code:
Telephone Number: ( I -
Fax Number: ( ) -
INSPECTION CONTACT
Individual's Name: Mr. Stanley Rasmussen
company Name:~~ Rio Blanco County Road and Brid4e
street: 17497 Colo. State Highway no. 64
City: Ran4ely
state: Colorado zip code: 81648
Telephone Number: ( 970 ) - 675-8644
Fax Number: ( 970 ) - 675-5211
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: Bureau of Land Management
street: P.O. Box 928
City: Meeker
State: r'nlnraAn Zip Code: 81641
Telephone Number: ( 970 ) - 878-3601
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -