PERMFILE123716

• Permit No: M2004009
• IBM Index Class Name: Permit File
• Doc Date: 2/10/2004
• Doc Name: 112 Application and Exhibits
• From: Asphalt Specialties Co Inc
• To: DMG
• Media Type: D
• Archive: No

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14. Corresuondence Information:
APPLICANT/OPERATOR (name. address. and phone of name to be used on permit)
ContacisName: -Rob Laird -t_,nr; !.,,~;:' Title:-Land manager 'r.~-;;>~a~~'~:
Company Name: Asphalt Specialties
Sweet 7321 E 88 Av Suite 100
City ~ea+.*er I}Pr'IC~Gr~r_rt
State: Colorado Zip Code: 80690
Telephone Number: (303 ) _ 289 8555
Fax Number: ~ 303 ) _ 7$9-T7O7
PERIviITTING CONTACT (if different from applicandoperator above)
Contact's Name: Peter Wavland Title: President
Company Name: Weiland. Inc.
Street: 10395 West Colfax Suite 350
City Lakewood
State: Colo ado Zip Code: 80215
Telephone Number: ( 303 ) - 436-0951
Fax Number: ( 303 )- 476-0957
LNSPECTION CONTACT
Contact's Name: Rob Laird
Company Name:
Sweet:
City
State: _
Telephone Number:
Fax Number:
Agency.
Sneer.
City
State:
Tlde: T,anA mans gar
-,,,.,.,,,.A Haxier~n
Colorado Zip Code: Eb[-j4a
( 303 )_ 289-8555
( 3a3 ) _2.89--1707 CC: ~
Zip Code:
Telephone Number: ( 1 -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Sweet:
City
State:
Zip Code:
Telephone Number: