2014-01-10_REVISION - M1990116 ‎(4)‎

• Permit No: M1990116
• IBM Index Class Name: REVISION
• Doc Date: 1/10/2014
• Doc Name: Response from CDPHE Water Quality CN01
• From: CDPHE Water Quality
• To: DRMS
• Type & Sequence: CN1
• Email Name: ECS
• 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:
RANDY SCHAFER
Company Name:
PHILLIPS COUNTY
Street/P.O. Box:
221 S INTEROCEAN AVE
City:
HOLYOKE
State:
CO
Telephone Number:
( 970 ) _ 854 -3778
Fax Number:
( 970 1-854-3811
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
( )
Fax Number:
( ) -
INSPECTION CONTACT
Contact's Name:
RANDY SCHAFER
Company Name:
PHILLIPS COUNTY
Street/P.O. Box:
221 S INTEROCEAN AVE
City:
HOLYOKE
State:
CO
Telephone Number:
( 970 ) _ 854 -3778
Fax Number:
( 970 _ 854 -3811
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any]
Agency:
Street:
City:
State:
Telephone Number:
Title: ADMINISTRATOR/PLANNER
P.O. Box:
Zip Code: 80734
Title:
P.O. Box:
Zip Code:
Title: ADMINISTRATOR/PLANNER
P.O. Box:
Zip Code: 80734
Zip Code:
Zip Code: