2009-10-23_PERMIT FILE - M2009062

• Permit No: M2009062
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/23/2009
• Doc Name: Response to Request to Change the Final Use of the Reclaimed Site
• From: Weld County
• To: DRMS
• Email Name: ECS
• 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: David Bauer
Company Name: Weld County Public Works
Street/P.O. Box: 1111 H Street
City: Greeley
State: Colorado
Telephone Number: (970 _ 304-6496
Fax Number: ( 970 _ 304-6497
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: ( 1-
Fax Number: ( 1 -
INSPECTION CONTACT
Contact's Name: Greg Nelson
Company Name: Weld County Public Works
Street/P.O. Box: 1111 H Street
City: Greeley
State: Colorado
Telephone Number: ( 970 _ 304-6496
Fax Number: ( 970 _ 304-6497
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
Street:
City:
State:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency:
Street:
City:
State:
Telephone Number: ( 1-
Title: County Engineer
P.O. Box: 758
Zip Code: 80632

Title:
P.O. Box:
Zip Code:

Title: Mine Foreman
P.O. Box: 758
Zip Code: 80632
Zip Code:
Zip Code: