2011-03-30_REVISION - M1978210 ‎(3)‎

• Permit No: M1978210
• IBM Index Class Name: REVISION
• Doc Date: 3/30/2011
• Doc Name: Amendment Submittal
• From: Weld County
• To: DRMS
• Type & Sequence: AM4
• 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: Jay McDonald Title: Supervisor
Company Name: Weld County Public Works
Street/P.O. Box: 1111 H Street P.O. Box: 758
City: Greeley
State: CO Zip Code: 80632
Telephone Number: ( 970 304-6496
Fax Number: ( 970 304-6497
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: David Bauer Title: County Engineer
Company Name: Weld County Public Works
Street/P.O. Box: 1111 H Street P.O. Box: 758
City: Greeley
State: CO Zip Code: 80632
Telephone Number: ( 970 ) _ 304-6496
Fax Number: ( 970 304-6497
INSPECTION CONTACT
Contact's Name: Jay McDonald Title: Supervisor
Company Name: Weld County Public Works
Street/P.O. Box: 1111 H Street P.O. Box: 758
City: Greeley
State: CO Zip Code: 80632
Telephone Number: ( 970 304-6496
Fax Number: ( 970 304-6497
CC: STATE OR FEDERAL LANDOWNER (if any
Agency: N/A

Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( ) -