2009-08-12_PERMIT FILE - M2009064

• Permit No: M2009064
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/12/2009
• Doc Name: New 112c application
• From: Grand County Department of Road and Bridge
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
'Q Contact's Name: Ken E. Haynes Title: Road Superintendent
Company Name: 'Grand County Department Of Road and Bridge
Street/P.O. Box: P.O. Box: 9
City: Granby
State: CO Zip Code: 800446
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: (303 1-423-7297
Fax Number: (303 423-7599
INSPECTION CONTACT
1<01 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
City: Granby
State: CO Zip Code: 80446
Telephone Number: (970 _ 887-2123
Fax Number: (970 887-3168
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:
City:

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Telephone Number: ( ) -

CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:
City:

State: Zip Code:

Telephone Number: ( ) -