PERMFILE135166

• Permit No: M2002059
• IBM Index Class Name: Permit File
• Doc Date: 5/17/2002
• Doc Name: Permit Application
• From: Moffat County
• To: DMG
• Media Type: D
• Archive: No

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14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phase of name to be used on permit)
Conixct'sName: Billy E. Mack Title: Road Supervisor
Company Name: Moffat County Road Department
street: P.0. Box 667 (822-._E~st First Street)
city: Craig
ware: Colorado Zio Code: 81 2
Telephone Number: ( 970 ) _ 824-3211
Fax:M1'umber: t 970 )_ 824-0356

PERMITTING CONTACT
Contact's Name: (if different from applicantloperator above)
Marvin TJloore Title. Consultant
Company Name: N~A
Street. 1570 Ranney S
City: -- --°
State: Colorado Zip Code:
Telephone Number: 97L_„~ _)- $24-92 9
Fax Number: I ~ ~) -
INSPECTION CONTACT
Contact's Name: (Operator) Titl
Company Name:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATE OR FEDERALLANDOWNER~ifanv)
Agea~,: Colorado Board of Land Commissioners
2 Centennial Bldg, 1313 Sherman St.
Street:
Denver
City;
State: Colorado Zip Code:
Telephone Number: ( 303 )_ 866-3454 extension X316
CC: STATE OR FEDERAL LANDOWNER !if amr)
N~A
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -