PERMFILE117621

• Permit No: M2000110
• IBM Index Class Name: Permit File
• Doc Date: 8/29/2000
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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14. Corrcapondeece Informatioe:

APPLICANT/OPERATOR (name. address, and phone of name to be used ou permit)
Contact's Name: Marin Racci Tide: Owner
Company Name:
Street: P 2000 North Farm Road
City: '` Monte Vista
State: Colorado Zip Code: 81144
Telephone Number
Fae Number.
PERMITTIlVG CONTACT (if different from applicant/operator above)
Contsct'sNarne: JoP Ga9liano & Lloyd Barnhart Tide: Consultants
COIDpanpNamC: R~rn<,art 6~~a`CX 1nC
S[reet: ~" ~
Ciry:
State:
717 ICI 1 Z4h Ctraat
Pueblo,
Colorado
Zip Code:
81003
Telephone Number. 7(19 )- F4?-1~~4
Fax Number: ( 719 t _ Fa'1_ 1 ~~g
• 1NSPPCTION CONTACT
Contact's Name: ~~
Company Name:
Street:
Ciry:
State:
Telephone Number:
Fax Nltmber:
Marin Racci Tide: Owner
2009 North Farm Road
nnnn+o tt;~+a
~n i n ra ~I n Zip Code: 81144
( 7191- 852-3225
CC: STATE OR FEDERAI LANDOWNER (if anvl
Agwq:
Strcet:
City:
State:
Telephone Number: ( 1
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
Ciry:
. State:
Zip Code:
Zip Code:
Telephone Number: (_ 1-