PERMFILE131751

• Permit No: M1997086
• IBM Index Class Name: Permit File
• Doc Date: 10/3/1997
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

• -3-
14. Correanondenca Information
APPLICANT/OPERATOR (nnme, eddreae and phone of name to be used on permit)
Individual's Neme: Ferd Mueller Title: Agent
Company Name:
Street: 1360 Rudd Ave.
City: Canon City
Stets: Colorado Zip Code: 81212
Telephone Number: L719 1 - 275-4275
Fnx Number: ( 719 1 - 269-1033
TING CONTACT (if different from applicant/operator above)
Individual's Neme: Stevan L. O'Brian Title: Consultant
Company Name: Environment, Inc.
Street: 7965 Vance Dr., Suite 205A
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
Stnte:
Telephone Number: ( 719 1 - 275-4275
Fax Number: 1 719 1 - 269-1033
CC: STATE OR FEDERAL LANDOWNER (if anYl
Agency: (Minerals) State of Colorado ( Board of Land Cotmnissionersl
Street: 1313 Sherman St.
City: Denver
State: CO Zip Code: 60203
Area Code: 13031 Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER lif anYl
Agency: Not anolicable
Colorado Zip Code: 60003
( 303 1 - 423-7297
( 303 1 - 423-7599
Ferd Mueller Title: Agent
Zip Code:
Street:
City:
State:
Zip Code:
Area Code: Telephone: