2008-05-30_PERMIT FILE - M2008035

• Permit No: M2008035
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/30/2008
• Doc Name: New 112c application
• From: Yuma County
• To: DRMS
• Email Name: CBM
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANVOPERATOR (name, address, and phone of name to be used on permit)
Name: Mark Shaw
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C Title: Road Supervisor
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s
Company Name: Yuma County

Street/P.O. Box: 1310 Blake St P.O. Box:
Cary: Wray
State: Colorado Zip Code: 80758
hone Number: C 970 )-332-5718
Tele
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Fax Number: ( 970 ) - 332-3429

PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Steve O'Brian Title: President
Name: Environment Inc
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y
Street/P.O. Box: 7985 Vance Dr., #205A P.O. Box:
Citv: Arvada

State: CO Zip Code: 80003
423-7297
Telephone Number: (303 -
.
Fax Number: (303 -423-7599

INSPECTION CONTACT

Mark Shaw
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' Title: Road Supervisor
ame:
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Name: Yuma County
Com
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y
Street/P.O. Box: 1310 Blake St. P.O. Box:
City: Wray
State: Colorado Zip Code: 80758
Telephone Number: ( 970 ) 332-5718

Fax Number: ( 970 ) - 332-3429

CC: STATE OR FEDERAL LANDOWNER (if M)
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Street:

Cit
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State: Zip Code:
hone Number: )
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CC: STATE OR FEDERAL LANDOWNER (if any)
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Street:

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State: Zip Code:
Telephone Number: ( )