2011-12-09_PERMIT FILE - M2011039

• Permit No: M2011039
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/9/2011
• Doc Name: New 110c Application
• From: Colorado Moss Rock, Inc.
• To: DRMS
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: KIM BARICKMAN Title: PRESIDENT
Company Name: COLORADO MOSS ROCK, INC.
Street/P.O. Box: P.O. Box: P.O. BOX 581
City: RYE
State: COLORADO Zip Code: 81069
Telephone Number: ( 719 ) _ 248 -7333
Fax Number: ( ) _ NO FAX
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: JOE P. GAGLIANO Title: CONSULTANT
Company Name: L J DEVELOPMENT, INC.
Street/P.O. Box: 256 N. MERRILL DRIVE P.O. Box:
City: PUEBLO WEST
State: COLORAD Zip Code: 81007
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: JOE P. GAGLIANO Title: CONSULTANT
Company Name: L J DEVELOPMENT, INC
Street/P.O. Box: 256 N. MERRILL DRIVE P.O. Box:
City: PUEBLO WEST
State: COLORAD Zip Code: 81007
Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
NONE
- 2 -
Zip Code:
Telephone Number: .( ) -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: NONE
Street:
City:
State: Zip Code:
Telephone Number: ( ) -