PERMFILE136050

• Permit No: M2005070
• IBM Index Class Name: Permit File
• Doc Date: 11/7/2005
• Doc Name: Reclamation Permit Application Form
• From: Ritcheys Redi-Mix Concrete Inc.
• To: DMG
• Media Type: D
• Archive: No

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6. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Serry Ritchgy Title: Owner/Operator
Company Name: Rirrheya' Redi-Mix~Concrete. Inc.
Sveet/P.O. Box: 509 S. Idlewild St. P.O. Box:
City: Yuma
State: CO Zip Code: 80759
Telephone Number: ( 970 )- R4R-5451
Fax Number: ( 970 ) - 'i37-4760
PERMITTING CONTACT (if different from app]icanUoperatorabpve)
Contact's Name: Randy Schafer Title: Consultant
Company Name:
Sveet/P.O. Box:
40586 Co. Rd. 21 P.O.Bos:
City: Haxtnn ~
State: Cn Zip Code: 80741
Telephone Number: ( 970 )- 854-4778 (Work) 970-774-6264 (Home)
Fax Number: { 970 )- 854-3811
INSPECTION CONTACT
Contact's Name: Tarry Ritrhev Title: Owner/Onerarnr
Company Name: Ritcheys' Redi-Mix Concrete, Inc.
Sveet/P.O.Box: 509 S- Idlewild St. P.O.Box:
City: Vnma
State: Cn
Telephone Number: ( 070 ) - _$Q
Fax Number: { 970 ) - 33
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Sweet:
cin:
State:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Sweet:
City:
Stale:
Telephone Number:
"Lip Code: 807 59
Zip Code:
Zip Code: