2010-09-16_REVISION - M1998034

• Permit No: M1998034
• IBM Index Class Name: REVISION
• Doc Date: 9/16/2010
• Doc Name: Adequacy Response
• From: Mountain Park Concrete Inc.
• To: DRMS
• Type & Sequence: CN1
• Email Name: PSH
• Media Type: D
• Archive: No

-3-
11. Correspondence Info rmation:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: M- Joe Dodheff III Title Vice Pres.
Company Name: Mountain Park Concrete, Inc.
Street/P.O. Box: 804 Granby West Circle P.O. Box: 856
City: Granby
State: Colorado Zip Code: 80446
Telephone Number: (970 ) _ 887-3444
Fax Number: (970 ) _ 887-0993
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Same Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( 1-
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: Same Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( 1-
Fax Number:: ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: NA
Street:
City:
State: Zip Code:
Telephone Number: l ) -
CC: STATE OR FEDERAL LANDOWNER (if My)
Agency: NA
Street:
City:
State: Zip Code:
Telephone Number: l ) -