2010-04-28_PERMIT FILE - M2010024

• Permit No: M2010024
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/28/2010
• Doc Name: New 112c application
• From: Rio Blanco County
• To: DRMS
• Email Name: THM
• 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: Dave Madan Title: Supervisor
Company Name: Rio Blanco County Road and Bridge
Street/P.O. Box: 570 2nd St P.O. Box:
City: Meeker
State: co Zip Code: 81641
Telephone Number: ( 970 _ 878-9590
Fax Number: ( 970 ) _ 878-9590

PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: J. Leif Joy Title: President
Company Name: JSC, Inc.
Street/P.O. Box: 646 Main St P.O. Box: 1153
City: Meeker
State: CO Zip Code: 81641
Telephone Number: ( 970 _ 878-5292
Fax Number: ( 970 _ 878-5392

INSPECTION CONTACT
Contact's Name: Clint Chappell Title: Permit Compliance Specialist
Company Name: Rio Blanco County Road and Bridge
Street/P.O. Box: 570 2nd St P.O. Box:
City. Meeker
State: co Zip Code: 81641
Telephone Number: j 970 - 878-9590
Fax Number: ( 970 ) _ 878-9590

CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: Bureau of Land Management
street: 220 E. Market Street
City: Meeker
State: CO Zip Code: 81641
Telephone Number: ( 970 _ 878-3800

CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:

City:

State: Zip Code:

Telephone Number: ( 1-