PERMFILE135158

• Permit No: M1998054
• IBM Index Class Name: Permit File
• Doc Date: 7/13/1998
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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14. Corraevoadenca Eafarmation:
APPLICANT/OPERATOR (name, address, and phone of same to be used on permit)
Contact's Name: Mr. Richard Ullom Title: Stipp rvisnr
Company Name: Rio Blanco County Road and Bridge
Street: P•0. Box KK
City: Meeker
Stater CO Zip Code: AlFUi
Telephone Number: ( 970 ) - 878-~i0'6~_ ~jlt0~
Fax Number: 1 970 ) - 878-3A96
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Title:
Company Name:
Street:
City:
State:
Telephone Number
Fax Number:
1 Zip Code:
INSPECTION CONTACT
Individual's Name: Mr Richard U~~om
Company Name: Rio Blanco County Road and Br~~P
Street: P•0• Box KK '
City: Mccl~cr
State: CO `..Zip Code: BlFhi
Telephone Number: ( 970 ) - 878-58~_'1r~p~
Fax Number: ( 970 ~ _ 878-3396
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: Bureau of Land Management
street: P.O. Box 928
City: Meeker
State: CO Zip Code: 81641
Telephone Number: ( 970 ) - 878-3601
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City : _.
State: Zip Code:
Telephone Number: ( ) -