PERMFILE114729

• Permit No: M2004021
• IBM Index Class Name: Permit File
• Doc Date: 3/22/2004
• Doc Name: 112c Appl
• From: Washington County
• To: DMG
• Media Type: D
• Archive: No

3-
14. Correaoondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on petmiq
Contact's Name: Bruce Johnson Title: Co,mty Commt cs; nnar
Compa~ryName: ~7ashington County
Street/P.O. Box: 150 Ash p.O. Box:
City: Akron
State: CO Zip Code: 80720
Telepha~neNumber: ( 970 )- 345-2701
FaxNtmiber. ( 970 )_ 345-2702
PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: Randy Schafer Tide: Consultant
Compaq Name:
Street/P.O.Box: 40586 Co. Rd. 21 P.O.Box:
Ctty: _Haxtvn
State: cn Zip Code: Rm ~ 7
Telephone Number: ( 970 )- 854-3778 (Office) 970-774-6264 (Home)
Fax Number: ( 970 )- 854-3811
INSPECTION CONTACT
Contact's Name: Tim Davis Title: Dist. Ifl Road Foreman
CompatryNeme: Washington County Road and Bridee
StreeUP.O. Hox: X51 W: 2nd St . P.O. Box:
City: Akron
State: _CO Zip Code: 80720
Telephone Number: ( 970 1- 345-2337
Fax Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if and
Agency:
Street:
City:
State: Zip Code:
Telephone Number