PERMFILE117736

• Permit No: M2001107
• IBM Index Class Name: Permit File
• Doc Date: 11/5/2001
• Doc Name: Permit Application
• From: Northern Colorado Constructors
• To: DMG
• Media Type: D
• Archive: No

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14. Correspondence Information:
1 APPLICANT/OPERATOR (name. address, and phone of name to be used on permit)
Contact's Name: George Zadel Tale President
Company Name:
Street:
City:
State:
Northern COlora do Cnnctri n1- c~ Tnr,T At3 a t n'c i n
18100 Weld County Road 19
Colorado
Zip Code: 8 0 5 3 4
Telephone Number: (970 1- 587-4394 -
FaxNtrmber: 9( 70 1- 587-4397
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Ken Rollin Title: Owner
Company Name: Ro in Consulting
Street 840 Eaal e Dr; ve
City: Ea
Stater Co
Zip Code: 80615-9086
Telephone Number: 9C 7 0 l- 4 5 4- 0 4 0 4
FaxNtrmber: 9{ 70 1- 454-2847
INSPECTION CONTACT
Contact's Name:
Company Name:
Street:
City:
George Zadel Tide: President
Northern Colorado Con ~ o me , Aggr~,ga P n; s.; c; nn
18100 Weld County Road 19
Johnstown
State: Cnlnradn Zip Code: 80534
Telephone Number: 9( 7 0 1- 5 8 7- 4 3 9 4
FaxNtrmber: 9( 70 1- 587-4397
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency: ~1~_
Street
Cirv
State:
Telephone Number: ~~ -
CC: STATE OR FEDERAL LANDOWNER (if auvl
Agency: NA
Street:
City:
Stale:
Zip Code:
Zip Cade:
Telephone Number: ( ) -