2011-03-21_REVISION - M1996079

• Permit No: M1996079
• IBM Index Class Name: Revision
• Doc Date: 3/21/2011
• Doc Name: Submittal
• From: Chester Barnard
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-2-
IL Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Chester Barnard
Company Name: Barnard Quarries
Street/P.O. Box: 245 Evans St.
City: Lyons
State: Colorado
Telephone Number: ( 303 823-6977
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Same as above
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: ( -
Fax Number: ( 1-
INSPECTION CONTACT
Contact's Name: Same as above
Company Name:
Street/P.O. Box:
City.
State:
Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: NA
Street:
City:
State:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any
Agency: NA
Street:
City:
State:
Telephone Number: ( ) -
Title: Owner
P.O. Box: P.O. Box 86
Zip Code: 80540
Title:
P.O. Box:
Zip Code:
Title:
P.O. Box:
Zip Code:
Zip Code:
Zip Code: