2009-11-06_REVISION - M1986061

• Permit No: M1986061
• IBM Index Class Name: REVISION
• Doc Date: 11/6/2009
• Doc Name: Amendment application
• From: Oldcastle SW Group, Inc.
• To: DRMS
• Type & Sequence: AM2
• Email Name: SSS
• 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: Peter Kearl Tide:-Environmental Manager
Oldcastle SW Group, Inc., dba Four Corners Materials
Company Name:
Street/P.O. Box: 6699 CR 521 P.O. Box: 1969
City: Bayf ield
State: CO Zip Code: 81122
Telephone Number: (9 7 0_ 2 4 7- 217 2

Fax Number: (9 7 0 259-3631

PERMIT7MG CONTACT (if different from applicant(operator above)
ContacesName: Ryan Ellis Tide: Pro!ect Engineer
Company Name: Greg Lewicki and Associates
Street/P.O. Box: 11541 Warrington Ct P.O. Box:
City: Parker
State: CO Zip Code: 80138
Telephone Number: ( 3 0 3 880-6690

Fax Number. 303 346-6934

INSPECTION CONTACT
Contact's Name: Tide:

Company Name:

Street/P.O. Box: P.O. Box:

City:

State: Zip Code:

Telephone Number. ( ) -

Fax Number. ( } -
CC: STATE OR FEDERAL LANDOWNER (,if any,)
Agency:

Street:
City:

State: Zip Code:
Telephone Number: ( } -

CC: STATE OR FEDERAL LA WNER (if any)
Agency:

Street:
City:

State: Zip Code:

Telephone Number: