2011-01-18_PERMIT FILE - M2011005

• Permit No: M2011005
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/18/2011
• Doc Name: New 112c application
• From: Montrose County
• To: DRMS
• Email Name: GRM
• 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: Brian Wilson Title: Director of Public Works
Company Name: Montrose County
Street/P.O. Box: 949 N. 2nd. Street P.O. Box:
City: Montrose
State: Co Zip Code: 81401
Telephone Number: (970 _ 252-7000
Fax Number: (970 252-7010
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Dan Quigley Title: Consulting Engineer
Company Name: Buckhorn Geotech, Inc.
Street/P.O. Box: 222 S. Park Avenue P.O. Box:
City: Montrose
State: CO Zip Code: 81401
Telephone Number: (970 ) _ 497-8852
Fax Number: (970 249-0945
INSPECTION CONTACT
Contact's Name: Norm David Title: Project Manager
Company Name: Montrose County
Street/P.O. Box: 949 N. 2ns. Street P.O. Box:
City: Montrose
State: CO Zip Code: 81401
Telephone Number: (970 209-8329
Fax Number: (970 _ 252-7010
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:
City:

State: Zip Code:

Telephone Number: ( ) -

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

Street:
City:

State: Zip Code:
Telephone Number: