2012-04-24_REVISION - M2002020 ‎(3)‎

• Permit No: M2002020
• IBM Index Class Name: REVISION
• Doc Date: 4/24/2012
• Doc Name: AMENDMENT APPLICATION
• From: CITY OF GREELEY
• To: DRMS
• Type & Sequence: AM1
• Email Name: PSH
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Jon Monson
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
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:
City of Greeley
1100 10th Street, Suite 300
Greeley
Colorado Zip Code: 80631
(970 ) _ 350 -9811
( 970 ) _ 350 -9805
PERMITTING CONTACT (if different from applicant/operator above)
Bill Schenderlein
Blue Earth
Fort Collins
Colorado Zip Code: 80522
(970 ) _ 227 -2803
Jim Hall
City of Greeley
1100 10th Street, Suite 300
Greeley
( 970 ) 336 -4039
( 970 ) _ 350 -9805
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number
- 3 -
Colorado Zip Code: 80631
Title: Water and Sewer Director
P.O. Box:
Title: Project Manager
P.O. Box: 973
Title: Water Resources Manager
P.O. Box:
Zip Code:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -