2009-09-22_REVISION - M1979131

• Permit No: M1979131
• IBM Index Class Name: REVISION
• Doc Date: 9/22/2009
• Doc Name: Submittal
• From: Korinek Sand and Gravel
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Gerald Korinek
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Contact's Name: WQF
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Title:
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Company Name: Korinek Sand and Gravel
Street/P.O. Box: 640 Lane 15 P.O. Box:
City: Manzanola
State: CO Zip Code: 81058
Telephone Number: (719 469-6510

Fax Number: ?j
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PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT

Contact's Name:
Gerald Korinek ?m
Title:
Company Name: Korinek Sand and Gravel
Street/P.O. Box: 640 Lane 15 P.O. Box:
City: Manzanola
State: CO Zip Code: 81058
Telephone Number: (719 ) _ 469-6510
Fax Number: ( - 3 04 " q±14
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -