2010-12-17_REVISION - M1980112

• Permit No: M1980112
• IBM Index Class Name: REVISION
• Doc Date: 12/17/2010
• Doc Name: 112c amendment application AM-01
• From: Rio Blanco County
• To: DRMS
• Type & Sequence: AM1
• Email Name: THM
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Dave Morian Title: Supervisor
Company Name: Rio Blanco County Road and Bridge
Street/P.O. Box: 570 2nd Street P.O. Box:
City: Meeker
State: Colorado Zip Code: 81641
Telephone Number: (970 - 878-9590
Fax Number: (970 _ 878-3396
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: J. Lief Joy Title: President
Company Name: JSC, Inc
Street/P.O. Box: 646 Main Street P.O. Box: 1153
City: Meeker
State: Colorado 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 Street P.O. Box:
City: Meeker
State: Colorado Zip Code: 81641
Telephone Number: (970 ) _ 878-9590
Fax Number: (970 ) _ 878-3396
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: Bureau of Land Management
Street: 220 E. Market Street
City: Meeker
State: Colorado Zip Code: 81641
Telephone Number: (970 ) - 878-3800
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number:
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