PERMFILE117144

• Permit No: M2000115
• IBM Index Class Name: Permit File
• Doc Date: 9/13/2000
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-s-
14. Correspondence Intortnation:
APPLICANT/OPERATOR (name, address, aad phone of name to be used on pemtit)
Contact'~Name: Myron Mullett Title: Oxner
Company Name: Mullett's Excavating, LLC
Street: 320 CR 241
City. Westcliffe,
State: C~ Zip Code: 81252
Telephone Number: (919 ~ - 983-2056

Fax Number: (719 t - 783-0156

PERMITTING CONTACT (if different from applicant/operator above)

Contact's Name: Title:
Company Name:
Street:
Cih':
State:
~ Telephone Nnmber.
Fax Number:
j~I PECTION CONTACT
Contacts Name:
Company Name:
Sheet:
City.
State:
Telephone Number: ( t - -
Fex Number: ( 1 • -
CC: STATE OR FEDE_R_/+i.LANDOWNER(Lt'anvl
Agenq:
Street:
Citv:
State:
Telephone Number: ( ) - _
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency:
Stmet:
City:
Slate:
Telephone Number:
Zip Code:
Title:
Zip Code:
Zip Code:
Zip Code: