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-3- <br />T t. Corresnoadence Information: <br />APPI-,TCANTr'OPF;RATOR (name, address. and phone of name to be used on permit) <br />contacts ;~,~; Darin Stone or Casey McClellen T;tTe: Managers <br /> <br />company Name: McStone Aggregates LLC _ <br />Sireet/P.O. Box: _-~ ~_ P.O. Box• 483 <br />city: Cortez _ <br />state: Colorado _-_ zip Code: 81321-0483 <br />Telephone Number: (970 ~ _ 565-2603 <br />Fax Number: (970 ) _ 565-0276 ~~ <br />PER1VTITTTNG CONTACT' (if different from appticant/operatorahove) <br />Contacts Name: Same as above Title: <br />Company Name: <br />StreetlP.O..Bax: P.O. Box: <br />City: <br />State: zip Code: <br />Telephone Number: ( ) - <br />Fax Number: { ) _ <br />INSPECTION CONTACT <br />Contacts Name: Same aS above Title: <br />Company Name: <br />StreeLT.O. Box: P.O. Box: <br />City: <br />State: Zip Code: <br />Telephone Number: ~____~_~~ - <br />Fax Number: ( ~ - <br />CC: STATE OR FEDERAL LANDOWNER if an <br />Agency: None <br />Street: <br />. <br />.qty. <br />Stag: "_....__.__ ___-._.___ ___.. ~.~_.__._.__._._ _ z~ Code: ~ ____ <br />1"etephone Number: ~ ) - <br />CC:„ STATE OR FIiDER14L LAN"DOWNGR ifan <br />Agency: ------------------- <br />Street: <br />City: ________~`_______ _______----_...-. <br />State: W_ _.__ _ . _..._._____ ______ _ 1_'ip Cade: ___ _... _._... __ _ . _ _ _ _,_._____. <br />'T'elephone Number: t..___,._. _..__,_-_) - _._._----_--- -__ ...._._____.____ .~...__-______...-_.__________--_----____.__._._.__ <br />