2013-06-11_REVISION - M1985170

• Permit No: M1985170
• IBM Index Class Name: REVISION
• Doc Date: 6/11/2013
• Doc Name: Amendment Application
• From: CDOT
• To: DRMS
• Type & Sequence: AM1
• Email Name: SJR
• Email Name: SJM
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT /OPERATOR
(name, address, and phone of name to be used on permit)
Contact's Name:
Kane Schneider
Title: Trans Mtce III
Company Name:
Colorado Department of Transportation (formerly CDOH)
Street /P.O. Box:
606 South 9th Street
P.O. Box:
City.
Grand Junction
State:
Colorado
Zip Code: 81501
Telephone Number:
( 970 ) _ 683 -6308
Fax Number:
( 970 1-683-6340
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:
Kane Schneider
Title: Trans Mtce III
Company Name:
same as above
Street /P.O. Box:
P.O. Box:
City:
State:
Zip Code:
Telephone Number:
( )
Fax Number:
) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Colorado Department of Transportation
Street:
606 South 9th Street
City:
Grand Junction
State:
Colorado
Zip Code: 81501
Telephone Number:
( 970 ) _ 683 -6308
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -