2014-06-25_PERMIT FILE - M2014033

• Permit No: M2014033
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/25/2014
• Doc Name: New application
• From: Four X Ranch, Inc.
• To: DRMS
• Email Name: TAK
• 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:
Matdl Qwiskmsen
Company Name:
Four X Ranch, Inc.
Street/P.O. Box:
22915 County Road 23
City:
Fort Morgan
State:
CO
Telephone Number:
( 970 1-867-5158
Fax Number:
( ) -
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
same as above
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
( )
Fax Number:
( ) -
INSPECTION CONTACT
Contact's Name:
same as above
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
( )
Fax Number:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
N/A
Street:
City:
State:
Telephone Number:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
N/A
Street:
City:
State:
Telephone Number:
Title: President
P.O. Box:
Zip Code: 80701
Title:
P.O. Box:
Zip Code:
Title:
P.O. Box:
Zip Code:
Zip Code:
Zip Code: