PERMFILE136889

• Permit No: M1998084
• IBM Index Class Name: Permit File
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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CorresDOadenoe Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Edward_J.Se ttl e Title:

Company Name: r.~,..1 t„ ter ; v;-e h Su pply Co

Street: p n n.,.. 1A LQ

City: Grand Jan t i on

State: f:nlnradn ~ Zip Code:

Telephone Number: (970 ) - 243-4604

Fax Number: (970 ) - 243-6703

PERMITTING CONTACT (if different from applicant/operator above)
Contact'$ Name: Title:

Company Name:

Street:

City:

State: Zip Code:

Telephone Number: ( ) -

Fax Number: ( ) -

INSPECTION CONTACT
Contact's Name: Sama as ahn vP Title:

Company Name:

Street:

City:

State: Zip Code:

Telephone Number: ( ) -

Fax Number: ( ) -

CC: STATE OR FEDERAL LANDOWNER (if anv )

Agency:

Street:

City:

State: Zip Code:

Telephone Number: ( ) -

CC: STATE OR FEDERAL LANDOWNER (if anv )

Agency:

Street:

City:

State: Zip Code:

Telephone Number: ( ) -