2012-02-06_REVISION - M1992058

• Permit No: M1992058
• IBM Index Class Name: REVISION
• Doc Date: 2/6/2012
• Doc Name: Conversion Application
• From: Colorado Quarries, Inc.
• To: DRMS
• Type & Sequence: CN1
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
Agency:
Street:
City:
State:
Telephone Number:
Bill Tezak
- 3 -
Colorado Quarries, INC.
270 S. 15th Street
Title: President
P.O. Box:
Cannn City
Colorado Zip Code: 81212
( 719 )_ 275 -6894
( 719 )_ 275 -2131
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: Nicole Krauth Title: Secretary /Treasurer
Company Name: Colorado Quarries, INC.
Street/P.O. Box: 270 S. 15th Street P.O. Box:
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number ( 719 ) - 279-6894
Fax Number: ( 719 ). 275-2131
CC: STATE OR FEDERAL LANDOWNER (if any)
U. S. Bureau of Land Management
3028 East Main Street
Canon City
Colorado Zip Code: 81212
( 719 )- 275 -8551 Stephanie Carter
CC: STATE OR FEDERAL LANDOWNER. (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -