2014-07-21_PERMIT FILE - M2013036

• Permit No: M2013036
• IBM Index Class Name: Permit File
• Doc Date: 7/21/2014
• Doc Name: New 110c Application
• From: Luke the Duke LLC
• To: DRMS
• Email Name: KAP
• Email Name: GRM
• Media Type: D
• Archive: No

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11. Correspondence Information-
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: John Avery Title: Managing Partner
Company Name: Luke the Duke LLC
Street/P.O.Box: 989 County Road 120 P.O.Box:
City: Hesperus
State: Colorado Zip Code: 81326
Telephone Number: (970 )_ 759-9977
Fax Number: f )-
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: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number-
Fax Number-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-