PERMFILE121088

• Permit No: M1995095
• IBM Index Class Name: Permit File
• Doc Date: 2/1/1996
• Doc Name: LIMITED IMPACT OPERATION 110[2]-RECLAMATION PERMIT-APPLICATION PACKAGE
• Media Type: D
• Archive: No

-z-
10. Correspondence Iaformaticn:
APPLICANT/OPERATOR (acme, address,'and phone of name to be used on permit)
Contact's Name: Mervin Casev Title: System Supervisor
Company Name: pt Paso County DOT
Street: 3inz N Ctnna Ave.
Clty: ('nlnradn Sp1,l nac
State: cnlnrado zip Code: 80907
Telephone Number: ( 719 ) - 520-6841
Pax Number: 1 719 ) - 520-6878
P&RMITTING CONTACT (if different from applicant/operator above)
Individual's Name: N(A Title:
Company Name:
Street:
City:
State:
Telephone Number
Fax Number:
IASPfiGTION CONTACT
Individual's Name:
Coa~any Name:
Street:
City:
State:
Telephone Number. ( ) -
Fax Number: ( ) -
CC:_ STATB OR PSDSRAL I,AlIDOHNSR (if aav)
Agency: N/A
Street:
City:
State:
Telephone Number: ( l -
CC: STATE OR F8D8RAL LAlIDO[QNBR (if aav)
Agency: N/A
Street:
City:
State:
Zip Code:
Same as above
Zip Code:
Zip Code:
Zip Code:
Telephone Number: