2012-07-30_REVISION - M2004030

• Permit No: M2004030
• IBM Index Class Name: REVISION
• Doc Date: 7/30/2012
• Doc Name: CONVERSION APPLICATION
• From: T BONE STONE QUARRY
• To: DRMS
• Type & Sequence: CN1
• Email Name: TAK
• Email Name: MAC
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Bill Tenore
Company Name: T Bone Stone, Inc.
Street/P.O. Box: 2337 Emery Street
Ci Longmont
State: CO
Telephone Number: (303 ) _ 435 - 2495
Fax Number: ( 303 ) -
776 - 3839
- 3 -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: (same)
Title: OWNER
P.O. Box:
Zip Code: 80503
Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: (same) Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: n/a
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: n/a
Street:
City:
State: Zip Code:
Telephone Number: ( ) -