PERMFILE117760

• Permit No: M2006073
• IBM Index Class Name: Permit File
• Doc Date: 10/2/2006
• Doc Name: 112c application
• From: Sundance Sand and Gravel
• To: DRMS
• Media Type: D
• Archive: No

-3-
I I. Correstandence Information:
APPLICANT/OPERATOR (nazne, address, and phone ofname to be used on perttut)
ContacPs Name: Mark Vigil Tnte: _
Company Name• Lafarge West InC.
streetm o. (sox: 10170 Church Ranch Way Suite 200 P.O. Box:
aty: _ Westminster
State: Colorado zipeode: 80021-6058
Telephone Number: ( 303 s - 657-4336
Fax Number: ( 303 I - 6~7-4037
PERMITTING CONTACT (if different from applicant/operatorubove)
eoataefs xame: Paul Gesso Title: Principal
Company Name: Banks and Gesso, LLC
strecNP.O. Box: 720 Kipling Street, Suite 117 P.o. Box:
Ciry: Lakewood
state: Colorado Zip eoae: 80215
Telephone Number. ( 303 1- 274-4277
Fax Number. [ 303 ~ - 274-8329
INSPECTION CONTACT
contact's Namc: Mark Vigil T;ne. _
Corrryany Name: Lafarge West, Inc.

StrccUP.O. Box: 10170 Church Ranch Way Suite 200 P.o Box:
C;ty; Westminster __
State: Colorado Zip Code: 80021-6058 _
Telephone Number: { 303 s - 657-4336

Fax Number. { 303 ) - 657-4037
CC: STA'fF. OR FEDERA L, LANDOWNER (ifany)
Agency:
City: -------
State: ___ Zip Code: _ _ _ _
Telephone Number: ( 1- _
C'C'- STATE OR FEDERAI I,ANDnWNF,R (if any]
Agency.
Street:
City
State:
lip Code:
I'eleplu~ne Number ( 1-