2008-04-01_REVISION - M1978143

• Permit No: M1978143
• IBM Index Class Name: REVISION
• Doc Date: 4/1/2008
• Doc Name: Amendment application
• From: Grand County Department of Road and Bridge
• To: DRMS
• Type & Sequence: AM1
• Email Name: CBM
• Media Type: D
• Archive: No

-3-
1 ] . Corresuondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Ken E. Haynes Title: Superintendent
Company Name: Grand County Department of Road and Bridge

Street/P.O. Box: P.O. Box: 9
City: Granby
State: Colorado Zip code: 80446
Telephone Number: ( 970 ) _ 887-2123
Fax Number: ( 970 ) _ 887-3168

PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Steve O'Brian Title: President
Company Name: Environment, Inc
Street/P.O. Box: 7985 Vance Dr., #205A P.O. Box:
City: Arvada
State: CO Zip Code: 80003
Telephone Number: 0303 1- 423-7297
Fax Number: 1303 ) - 423-7599
INSPECTION CONTACT
Contact's Name: Bill Clark Title: Asst. Superintendent
Company Name: Grand County Department of Road and Bridge
Street/P.O. Box: P.O. Box: 9
C;ty: Granby
State: Colorado Zip Code: 80446
Telephone Number: ( 970 ) - 887-2123
Fax Number: ( 970 ) - 887-3168
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE UR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -