2006-06-02_PERMIT FILE - M2006050

• Permit No: M2006050
• IBM Index Class Name: Permit File
• Doc Date: 6/2/2006
• Doc Name: Construction Materials Limited Impact ‎(110)‎ Operation Reclamation Permit Application Form
• From: Lincoln County
• To: DMG
• Media Type: D
• Archive: No

-2-
6. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: DON BLAKE Title: LAND USE ADM.
Company Name: LINCOLN COUNTY
Street/P.O. Box: 10 3 3rd A V E P.O. Box: 3 9
City: HUGO
State: COLORADO Zip Code: 80821
Telephone Number: ( 719 1- 7 4 3- 2 3 3 7
Fax Number: ( 71 9 1- 7 4 3- ~ 81 S
PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name:
Company Name:
Street/P.O. Box:
Ciry:
State:
Telephone Number: ( ) -
Fax Number: (_ ) -
INSPECTION CONTACT
Contacts Name:
Company Name
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
O. Box:
BLAKE
Title: LAND USE ADM
LINCOLN COUNTY
P.O. Box:
Zip Code:
(719 ~- 743-2337
( 719 1- 743-2815
CC' STATE OR FEDERAL LANDOWNER (if azryl
Agency:
Street:
City:
State:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER (if
Agency:
Street:
City:
State:
Telephone Number
Zip Code:
Zip Code:
Zip Code: