2014-08-01_PERMIT FILE - M2014042 ‎(3)‎

• Permit No: M2014042
• IBM Index Class Name: Permit File
• Doc Date: 8/1/2014
• Doc Name: New 110‎(1)‎ Application
• From: Russell Painter
• To: DRMS
• Email Name: TAK
• Email Name: TC1
• Media Type: D
• Archive: No

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-2-
9. Correspondence Information:
APPLICANT/OPERATOR (name,address, and phone of name to be used on permit):
Contact's Name: —T�SpC. r 12 V Title:
Company Name: n
Street: l b P 1 ke 5 C eq Dy(y e P.O.Box:
City: Flog t 55 4a�
State: Co C Zip Code:
Telephone Number:
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: Q GS A)o j e Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( Z Fax Number: ( ) -
INSPECTION CONTACT: J
Contact's Name: 5(k M Q G Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( 1 -
CC: STATE OR FEIPERAL LANDOWNER
Agency: id
Street:
City:
State: Zip Code:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER if any):
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -