2010-11-04_REVISION - M1982079

• Permit No: M1982079
• IBM Index Class Name: REVISION
• Doc Date: 11/4/2010
• Doc Name: Submittal
• From: Kit Carson County
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Jim Whitmore Title: County Commissioner
Company Name: Kit Camon County
Street/P.O. Box: P.O. Box: 160
City: Burlington
State: CO Zip Code: 80807
Telephone Number: (719 ) _ 346-8139
Fax Number: (719 ) _ 346-7242
PERMITTING CONTACT (if different from applicantloperator above)
Contacts Name: Randy Schafer Title:
Company Name:
Street/P.O. Box: 40586 Co. Rd. 21 P.O. Box:
City: Haxtun
State: Co Zip Code: 80731
Telephone Number: (970 _ 774-6264 (Home) 970-854-3778 (Work) 970-520-0502 (Cell)
Fax Number: (970 ) _ 854-3811
INSPECTION CONTACT
Contact's Name: Wait Isenbart Title: Road S Bridge Supervisor
Company Name: Kit Carson County
Street/P.O. Box: P.O. Box: 160
City: Burlington
State: CO Zip Code: 80807
Telephone Number: (719 )-349-1985
Fax Number: (719 ) _ 346-7242
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -