2012-01-13_REVISION - M1992058 ‎(5)‎

• Permit No: M1992058
• IBM Index Class Name: REVISION
• Doc Date: 1/13/2012
• Doc Name: Conversion Application
• From: Colorado Quarries, Inc.
• To: DRMS
• Type & Sequence: CN1
• 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: Bill T e z ak
Company Name:
Street/P.O. Box:
City:
81212
Colorado Quarries, INC.
279 S 15th Street P.O. Box:
Canon City
State: Colorado Zip Code:
Telephone Number: ( 719 2 -6894
Fax Number: ( 719 _ 275-2131
PERMITTING CONTACT (if difl'erent from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: ( ) Fax Number:
Title: President
P.O. Box:
Zip Code:
INSPECTION CONTACT
Contact's Name:
Nicole Krauth
Title: Sec retary /Treasurer
Company Name:
Colorado Quarries INC
Street/P.O. Box:
270 S 15th. S tree t
P.O. Box:
City.
Canon City
State:
Colorado
Zip Code: 81212
Telephone Number:
( 719 ) _ 275-6894
Fax Number:
( 719 _ 275 - 2131
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
IJ c u,,,-on„ of T nnrd Management
Street:
3028 East Main Street
City:
Canon City
State:
Gel c� �n
Zip Code: 81212
Telephone Number:
( 719 275 -8551 Stephanie
Carter
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: