2008-11-13_REVISION - M2001077

• Permit No: M2001077
• IBM Index Class Name: REVISION
• Doc Date: 11/13/2008
• Doc Name: Conversion from 110c to 112c
• From: Rio Blanco County
• To: DRMS
• Type & Sequence: CN1
• Email Name: SSS
• Media Type: D
• Archive: No

-3.
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Ron Leeper Tide:Road & Bridge Coord.
Company Name: Rio Blanco County
Street/P.O. Box: 570 2nd Street P.O. Box:
City: Meeker
State: Colorado Zip Code: 81 6 41
Telephone Number: ( 970 )-878-9590
Fax Number: ( 970 )-878-3396
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: James W. Joy Title: President
Company Name: JSC, Inc.-
Street/P.O. Box: 646 Main Street P.O. Box: 1 15 3
City: Meeker
State: Colorado Zip Code: 81 6 41
Telephone Number: ( 9 7 0 )- 878-5292
Fax Number: ( 970 878-5392
INSPECTION CONTACT
Contact's Name: Ron Leeper Title:Road & Bridge Coord.
Company Name: Rio Blanco County
Street/P.O. Box: 570 2nd Street P.O. Box:
City: Meeker
State: Colorado Zip Code: 81 6 41
Telephone Number: ( 9 7 0 )-878-9590
Fax Number: ( 970 )-878-3396
CC: STATE OR FEDERAL LANDOWNER if an
Agency: None

Street:
City:

State: Zip c(Ae:

Telephone Number:

CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: None

Street:
City:
State: W Zip Code:
Telephone Number: