2009-09-04_REVISION - M1998022 ‎(7)‎

• Permit No: M1998022
• IBM Index Class Name: REVISION
• Doc Date: 9/4/2009
• Doc Name: Notices
• From: DRMS
• To: Various
• Type & Sequence: CN1
• Email Name: GRM
• Media Type: D
• Archive: No

Latitude (1) _ (5 decimal places)
Longitude(W) (5 decimal places)
OR
Universal Transverse Mercator (UTW
Example: 201336.3 E NAD27 Zone 13
4398351.2 N
UTM Datum (specifyNAD27, NAD83 or WGS 84) NAD 83 Zone 13
Easting
Northing
11. Correspondence %formation:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Gary Woodworth Title: Chief Operations Officer

Company Name: The Gallegos Corporation
StreetlP.O. Box: P .O. Box 821 P.O. Box:

City: Vail

State: CO Zip Code: 81658
Telephone Number: [phone]

Fax Number: [phone]

PERMITTING CONTACT (if different from applicantloperator above)
Contact's Name: William P. Balaz. Jr. Title: Sr. Engineer

Company Name: Tetra Tech Inc.

Street/P.O. Box: 825 North Crest Drive P.O. Box:

City: Gnurd Junction

State: CO Zip Code: 81506
Telephone Number: [phone] -

Fax Number. [phone] -

INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State.
Telephone Number.
Fax Number:
Frank Guiterrez Title: President
The Galle og s Corporation
P.O. Box 821 P.O. Box:
Vail
CO Zip Code: 81658
[phone] x105
[phone]
CC: STATE OR FEDERAL LANDOWNER (if any)
ONiceoE ?(fMeof
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