2010-03-25_REVISION - M1980248

• Permit No: M1980248
• IBM Index Class Name: REVISION
• Doc Date: 3/25/2010
• Doc Name: Amendment application ‎(AM-02)‎
• From: Moffat County
• To: DRMS
• Type & Sequence: AM2
• Email Name: DMC
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) Chairman
Contact's Name: Moffat County Board of County Comititi6sioners
Company Name:
Street/P.O. Box: 221 W. Victory Way P.O. Box:
City: -Craig
Co Zip Code: 81625
State:
Telephone Number: K0 )-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: 1570 Ra.nney P.O. Box:
.•;.... Craig
v C 0 Zip Code: 81625
State:
ne Number:
T
l
h ( 97 0 )-824-9249
e
ep
o
ber:
F
N ( ) -
um
ax
INSPECTION CONTACT
' Billy Mack Title-Director
s Name:
Contact
Company Name: Moffat County Road Department
P
O
B 822 East First St. P.O. Box: 667
ox:
.
.
Street/
City: Craig
Co Zip Code: 81626
State:
Telephone Number: ( 970 824-3211 Ext. #15
Fax Number: ( 970 )- 824-0356

CC: STATE OR FEDERAL LANDOWNER (if any)
N/A
Agency:
Street:

Cit
:
y
Zip Code:
State:
hone Number:
T
l ( ) -
e
ep
CC: STATE OR FEDERAL LANDOWNER (if any)
enc
:
A N/A
y
g
Street:

Cit
:
y
Zip Code:
State:
Telephone Number: ( 1-