2008-03-19_REVISION - M1987038

• Permit No: M1987038
• IBM Index Class Name: REVISION
• Doc Date: 3/19/2008
• Doc Name: Amendment Appl
• From: Four Corners Materials
• To: DRMS
• Type & Sequence: AM5
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICAN'T,?OPERA•F R (name, address, and phone of naive to be used on permit)
Contact's Name: Peter Kearl Tide: $p=ce 1na
Company Name: Four Corners Material
Street/P.O. Box: 6699 County Rd. 521 P.O. Box: 1969
City: Hayfield

State: _ Colorado _ Zip code: 81122
Telephone Number: 970 884-9704
Fax Nwnber: ( 970 - 259-3631
-
PERMITTING CONTACT (if different from applicantloperator above)
Contact's Name: Matt Carnahan Tide: Consultant/ Dent
ConVany Name:
Street/P.O. Box: > > > P.O. Box: 1951
City: Bayfield
State: Colorado Zip Code: 81122
Telephone Number: ( 970 - 759-5463
Fax Number: ( 970 I _ 884-5062
INSPECTION CONTACT
ContacesName: Peter: Kearl (see above) Title:
Company Name:

Street/P.O. Box: P.O. Box:
City:

State: Zip Code:
Telephone Number: L ) -
_
Fax Number.-
( ) -
CC: STATE OR FEDERAL LANDOWNER if an
,Agency.: N/A

Street:
City:
State: _._-.----- ------- .------_-._..._ 7_ip C(Ae: --.-._
Telephone Number: ?-_.--------..__.? - -------._...___..._._._.._.___.___._.__.______._____- ---------------•--.----___
CC;STATE OR FEDERAL LANDOWNER 6fany)
Agency: N/p'---- --- -
- - --- -
Street:
City:
State: Zi Code
Telephone Number: f._...._-....._.__..__ 1 _._..__.-_. ....................... _............. ............ . .._._-........... _.__.__.__...------------.-.----_..__--