2014-07-29_REVISION - M1989095

• Permit No: M1989095
• IBM Index Class Name: REVISION
• Doc Date: 7/29/2014
• Doc Name: Notices CN01
• From: DRMS
• To: Various
• Type & Sequence: CN1
• Email Name: ERR
• 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 I itle: County Planner
Company Name: Phillips County
Street/P.O. Box: 221 S. Interocean P.O. Box:
City: Holyoke
State: co Zip Code: 80734
Telephone Number: ( 970 ) _ 854 -3778
Fax Number: ( 970 ) _ 854 -3811
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Same as above 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: Same as above
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -