2014-06-25_REVISION - M1997039

• Permit No: M1997039
• IBM Index Class Name: REVISION
• Doc Date: 6/25/2014
• Doc Name: Notices CN01
• From: DRMS
• To: Various
• Type & Sequence: CN1
• Email Name: PSH
• Media Type: D
• Archive: No

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11.
APPLICANT/OPERATOR (mmne, address, and phone of name to be used on permit)
Coniactvs Name Richard F Wyatt and Rodney B. %aq Ti >ctle Presidet t and YraexxesideM
Comfy Name; Wyatt Roth -Mnc Co
Street/P.O. Boa: M Harrison Street P.O. Box 1052
City:. Walden --
state: Colorado zip Code: $0480
TdephomNtmher: ( 970 )-723-4471
Fax Number 970 )-723-3222
PMt ATM4G CONTACT (if diflermat from apPli autADJ al3orabovc)
Contwrs Names Tide:
Company Nw=
Stred/P.O. Boa: P_O_ Box.
city-
State:
Tdepboac Number:
Fax Number:
Tp Coder
INSPECTION CONTACT
Contact's Name: same as above Tit3e
(bmpeay Nw=
SUvrUP -O- Box: P.O. Boat
may:
State: tip Cbde:
Telephone Number: f ) -
Fax Nimober: ) -
CC- STATE OR FEDERAL IANDOWNER!iifauv)
Agcnay: NIA
Street
City:
State
TelephowNumbw- 1-
OC; STATE OR FEDERAL. LANDOWNER fif my)
Agency: NIA
Street
TdepbOne Number:
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