2009-08-25_PERMIT FILE - M2009070

• Permit No: M2009070
• 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. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Mark Shaw Title: -Road SuRervisor
Company Name: Yuma Cnimty Road and B ?idga
Street/P.O. Box: 111f) Sn„th Rl akQ StrPpt P.O. Box:
City: Wra3z
State: _CO Zip Code: 80758
Telephone Number: ( 970 ] - 332-5718
Fax Number: ( 970 1- 332-3429
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: -I - 4 Schafer Title: _ ron s>> 1 t an3-
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
40586 Cn - Rd- j P.O. Box:
Haxtim
rn Zip Code: 80731
971L;?- 854-8778 (Work) 970-774-6264 (Home)
( 970 854-9811
Contact's Name: How- A McGinnis Tide: Truck and Mining Foreman
Company Name: Ynma o ?n y Road and Bridge
Street/P.O. BOX: 1 310 South Blake Street P.O. Box:
City: Wray
State: CO Zip Code: 80758
Telephone Number: f 9 7 0 )-_ 3 3 2- 5 7 8
Fax Number: ( 970 - _332-9429
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number: ( } _
CC; STATE OR FEDERAL LANDOWNER (ifMj
Agency:
Street:
City:
State:
Telephone Number:
Zip Code:
Zip Code: