2009-12-03_REVISION - M2005006

• Permit No: M2005006
• IBM Index Class Name: REVISION
• Doc Date: 12/3/2009
• Doc Name: Amendment application ‎(AM-01)‎
• From: Moffat County Board of County Commissioners
• To: DRMS
• Type & Sequence: AM1
• Email Name: GRM
• 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: (Chairman) Title: Commissioner
Company Name: Moffat County Board of County Commissioners
Street/P.O. Box: 221 West Victory Way P.O. Box:
City: Craig,
State: Colorado Zip Code: 81625
Telephone Number: (9 7 0 ) - 824-5517
Fax Number: ) -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Marvin Moore Title: (Consultant)
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION-CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
1570 Ranney, P.O. Box:
Craig
co Zip Code: 816 25
( 970 )- 824-9249
Billy Mack Title: Director
Moffat County Road Department
822 East 1st. Street P.O.Box: 667
Craig,
co
Zip Code: 816 26
Telephone Number: (9 7 0 ) -824-3211 . Ext. 15
Fax Number: ( 970 1-824-0356
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
City:
State:
Telephone Number: ; ) -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: N/A
Street:
City:
State:
Telephone Number: ( )
Zip Code:
Zip Code: