2014-04-09_PERMIT FILE - M2014019

• Permit No: M2014019
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/9/2014
• Doc Name: Application
• From: Las Animas County
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

11 Correspondence Information.
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Gary D. Hill
Title. Commission Board Chairman
Company Name 200 E. 1 st Street Room 110
Street/P O Box
P O Box.
City. Trinidad
State: Colorado
'Zip Code 81082
Telephone Number: ( 719 _ 845 -2568
Fax Number: ( 719 ) _ 845 -2598
PERM TTING CONTACT (if different from applicant/operator above)
Contact's Name Phil Dorenkamp
Title: R &B
Company Name. Las Animas County
Street/P O Box- 2000 N. Linden Ave.
p O Box.
lt� Trinidad
State Colorado
Zip Code: 81082
Telephone Number ('719 _ 846 -2931
Fax Number ('719 _ 846 -0434
INSPECTION CONTACT
Contact's Name. same as permitting
Title-
Company Name
Street/P O Box-
110 Box
City
State
Zip Code:
Telephone Number. ( )
Fax Number: ( ) -
CC STATE OR FEDERAL LANDOWNER (if any )
Agency none
Street
City:
State
Zip Code
Telephone Number. ( ) -
CC STATE OR FEDERAL LANDOWNER (if amv )
Agency none
Street:
City-
State
Zip Code
Telephone Number- ( ) -