2011-09-12_REVISION - M1997007

• Permit No: M1997007
• IBM Index Class Name: Revision
• Doc Date: 9/12/2011
• Doc Name: Amendment Submittal
• From: Acme Brick Company
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

11.
Correspondence Information:
APPLICANT /OPERATOR
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
PERMITTING CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
Castle Rock
Colorado
( 303 ) _ 688 -6951
( 303 ) _ 688 -9894
(name, address, and phone of name to be used on permit)
John Cona Title: Plant manager
The Denver Brick Company do Acme Brick Company
401 Prairie Hawk Drive
Castle Rock
Colorado
( 303 ) _ 688 -6951
( 303 1 _ 688 -6951
(if different from applicant/operator above)
- 3 -
P.O. Box:
Zip Code: 80109
Title:
P.O. Box:
Zip Code:
Title: Plant manager
John Cona
The Denver Brick Company do Acme Brick Company
401 Prairie Hawk Drive P.O. Box:
Zip Code: 80109
Zip Code:
( ) -
Zip Code:
( )-