2009-08-25_PERMIT FILE - M2009069

• Permit No: M2009069
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/25/2009
• Doc Name: New 112c Appl
• From: Yuma County
• To: DRMS
• Media Type: D
• Archive: No

-3-
11. Corresaondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contacts Name: Marls Shaw Title: Road Supervisor
Company Name: V„ma Cminty Rnad and R-r dga
Street/P.O. Box: 1310 R-1th Rl aka ' rApt P.O. Box:
City:
State: CO Zip Code: 80758
Telephone Number. ( 970 )-_332-5718
Fax Number. ( 970 1- 332-3429
PERMPPTING CONTACT (if different from applicant/opcmtor above)
ContacesNow: --Rangy Schafer Title: _ Cnna„1 tant
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number.
Fax Number:
_40586 Cn _ RR- 21 P.O. Box:
1lasrt„n
co Zip Code: 80731
( 970 )-__R_54-3778 (Wnr ) 970-774-6264 (Home)
( 970 1-_854-3811
INSPECTION CONTACT
Contacts Name: u^wxd McGinnis Title: T , k and Mining Foreman
Company Name: Yuma County Road and Bridge
Street/P.O. Box: 1 310 South Blake Street P.O. Box:
City: Wra3z
State: Cn Zip Code: 80758
Telephone Number: ( 92n - 112-9719
Fax Number: ( 97n )- 332-3429
CC: STATE OR FEDERAL LANDOWNM (if aiRyj
Agency:
Street:
City:
State:
Telephone Number: ( ) -
CC• STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number. ( ) -
Zip Code:
Zip Code: