2014-09-30_PERMIT FILE - M2014054

• Permit No: M2014054
• IBM Index Class Name: Permit File
• Doc Date: 9/30/2014
• Doc Name: New Application- 110‎(2)‎
• From: Amanda Adkins Anderson
• To: DRMS
• Email Name: TAK
• Email Name: MAC
• 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: ARA NPA A,�k LR/s A.�o�2 to ✓ Title:
Company Name:
Street: P.O.Box: 31Z(PV
City: CaL4R4Pd SPRZ.�G,S
State: co Zip Code: eV'Y//
Telephone Number: ( W q ) - 56 9- a3 73
Fax Number: ( L -
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( L Fax Number: ( ) -
INSPECTION CONTACT:
Contact's Name: Title:
Company Name:
Street: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( L Fax Number: ( Z -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: &/'1 COLURADo STA>c l3r FZc�'
Street: L_K50 XVGWCrFS cp 57'
City: LA/lEwnoD
State: CC) Zip Code: 807—/$'
Telephone Number: ) -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( L -