2008-02-12_PERMIT FILE - M2008008

• Permit No: M2008008
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/12/2008
• Doc Name: 110C application form
• From: Grand County Department of Road and Bridge
• To: DRMS
• Media Type: D
• Archive: No

-2-
t t . Correspondence Information:
APPI.iCANTiOPF,RAT'OR (name, address, and pt.~one of name to be used on pei7nit)
Contact's Name: Ken E. Haynes _ _______ ~_ Title: Superintendent
Company Name: Grand Coua ntv Department of Road and_Bridge
Streeti.P.O. Box: P.O. Box: _ 9 _________~_

City; Grandby
~_
State: Colorado 7.,ip Code: 80446 _____

Telephone Number: ( 9 7 0 )- 8 8 7- 212 3
Fax number: 9 7 0 ~- 8 8 7- 316 8 _~
( ~~
~,
PERIyII'CTING CONTACT (if different from applicantloperator above)
Contact's Name: Steve 0' Brian Title: President

Company Name: ~nyi ronment Tns
__....._..,_._.-._
StreetiP,O. Box; 7985 Vance Dr. #205A P.O. 130x:

City: rvada
State: Col orado Zip Code: 80003

Telephone Number: ( 3 0 3 )- 4 2 3- 7 2 9 7

Fax dumber: ( 303 ) - 423 -7599 _
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1NSPI:cT1oN coNTACT
Contact's Name: Bill Clark Title: Asst. SzLperintendent

Company Name: Grand County Department of Road and B ride _

StreetlP.O. Box: P.O. Box: 9 _

City; Grandby

State: Colorado ~ _ 7.,ip Code: 80446______ __
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'telephone Number: ) - 8 8 7 - 212 3
9~
? ~
~~
_____
____.._
Fax Number: ( 9 7 0 )_ 8 8 7- 316 8

CC,:_STATE OR.FEnL3RA[. C.AN`DOWNL"R (if any
Agency: .Medicine, Bow_T_Routte..Natonal Forest Attention:Oscar Martinez
Street: 300 Roselawn
City: Yam a
_-----p------------------------._ __ __ _ _ __ ------ ____ .- ---
-- _.___ _..._..._._...._..___._-_._..._.........---...-•-----..._.__ __ _
State: CO .......... ..... %iy C;zttle: __8 04.8 3,,,,,,,._. _. _._. ___._--- ... __.
'T'elephone ?number: ~_ _ 9 7 0 -.__... j _ 6 3 SY 4 516-. . - .
i"C:__S;1'ATE~OI2 FII7I~RAI., Lr1NI)f3R%1Ti1i:R (if an~•)
Agency: _.----------
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Sireet:
City:

Stale: ......... ... dip C~cte: -...
"1'eTephone Number: ~.__._._____..__..-.___.1 ~ __.._..__._.._...__..._.._...____..._ .................._._.