PERMFILE125040

• Permit No: M1978143
• IBM Index Class Name: Permit File
• Doc Name: REGULAR OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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• 9

Correspondence Information:
APP LICANTlOPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: M. Clark Branstetter, Grand County Road & Bridge Supervisor
Company Name: Grand County
Street: 308 Byers Avenue - Box 239
City: Hot Sulphur Springs
State: Colorado Zip Code: 80451
Area Code: 303 Telephone: [phone]
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
PERMITTING CONTACT (if different from applicant/operator above)
Telephone:
Zip Code:
• INSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Zip Code:
Agency: N/A
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
. City:
State: Zip Code:
Area Code: Telephone: _