2010-04-27_REVISION - M1987151

• Permit No: M1987151
• IBM Index Class Name: REVISION
• Doc Date: 4/27/2010
• Doc Name: New amendment application ‎(AM-01)‎
• From: Montrose County
• To: DRMS
• Type & Sequence: AM1
• Email Name: GRM
• Email Name: WHE
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Brian Wilson
' Title: Public Works Director
s Name:
Contact
Name: Montrose County
Com
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Street/P.O. Box: 949 North 2nd Street P.O. Box:
City: Montrose
CO Zip Code: 81401
State:
e Number: (970 252-7000
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mber: 1-
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PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:

Street/P.O. Box: P.O. Box:
Cit
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y
State: Zip Code:
ne Number: ) -
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ep
Number: ( 1-
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INSPECTION CONTACT
Brian Wilson
' Title: Public Works Director
s Name:
Contact
XT p% Montrose County
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Street/P.O. Box: 949 North 2nd Street P.O. Box:
r;? ,. Montrose
v CO Zip Code: 81401
State:
Telephone Number: ) -
Fax Number: ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
A.
Street:
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State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
114-
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State: Zip Code:
Telephone Number: ( ) -