2011-08-11_PERMIT FILE - M2011042

• Permit No: M2011042
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/11/2011
• Doc Name: New 112c Application
• From: Randy Schafer and Yuma County
• To: DRMS
• Media Type: D
• Archive: No

Telephone Number: ( 970 1_ 332 - 5718
Fax Number ( 970 ) _ 332 - 3429
- 3 -
11. Corresnondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Howard McGinnis
Company Name: Yuma County Road & Bridge
Street/P.O. Box: 1310 South Blake Street
City: Wray
State: CO
Title: Truck & Mining Foreman
P.O. Box:
Zip Code: 80758
PERMITTING CONTACT (if different from applicant/operator above)
Randy Schafer Title: Consultant
Contact's Name:
Company Name:
Street/P.O. Box: 40586 Co. Rd. 21 P.O. Box:
City: Haxtun
State: CO Zip Code: 80731
Telephone Number: ( 970 ) _ 854 -3778 (Work), 970 - 774 -6264 (Home), 970 - 520 -0502 (Cell)
Fax Number: (970 1 _ 854 -3811
INSPECTION CONTACT
Contact's Name: Howard McGinnis Title: Truck & Mining Foreman
Company Name: Yuma County Road & Bridge
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 ) _ 332 - 3429
CC: STATE OR FEDERAL LANDOWNER (if any'
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC- STATE OR FEDERAL LANDOWNER if an v)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
a3