2011-01-20_PERMIT FILE - M2011006

• Permit No: M2011006
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/20/2011
• Doc Name: New 112c Application
• From: Yuma County
• To: DRMS
• 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: Howard mcGrvns
Title: Truck/Mining Foreman
Company Name: Yuma County Road and Bridge _
1310 South Blake Street
Street/P.O. Box: . P.O. Box:
City: Wray -- -- ---
State: Co -
Telephone Number: (970 1 _ 332-5718 _
Fax Number: (970 ) _ 332-3429
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Randy Schafer

Company Name:
Street/P.O. Box:
?-
40586 Co. Rd. 21
City: Haxtun
Zip Code: 80758
State: Co Zip Code: 80731
Telephone Number: (970 1 _ 774-6264(Home), 970-854-3778 (work), 970-520-0502 (Cell)
Fax Number: (970 )_ 854-3811 _
INSPECTION CONTACT
Contact's Name: Howard McGinnis Title: Truck/Mining Foreman
Company Name: Yuma County Road and Bridge -w
Street/P.O. Box: 1310 South Blake Street _ P.O. Box:
City: Wray
State: CO Zip Code: 80758
Telephone Number: (970 ) _ 332-5718
Fax Number. (970 1 _ 332-3429 _
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
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Street:

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Telephone Number: i 1-
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:

Street:
_
City:

State:

Telephone Number: ( 1-
Title:
P.O. Box:
Zip Code:
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