2014-10-23_PERMIT FILE - M2014061

• Permit No: M2014061
• IBM Index Class Name: Permit File
• Doc Date: 10/23/2014
• Doc Name: New 112c Application
• From: Schlosser, Inc.
• To: DRMS
• Email Name: TAK
• Email Name: ERR
• 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) Y I C E
Contact's Name: TomSchlosser 'hide: President
Company Name: Schlosser, Inc.
Street/P.O. Box: 755 U.S. Highway 385 P.O.Box:
City: Burlington
State: Colorado Zip Code: 80807
Telephone Number: (719 )_ 346-8806
Fax Number: (719 )_ 346-8088
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 Y ICit,
Contact's Name: Tom Schlosser Title: President
Company Name: Schlosser, Inc.
Street/P.O.Box: 755 U.S. Highway 385 P.O.Box:
City: Burlington
State: Colorado Zip Code: 80807
Telephone Number: (719 )_ 346-8806
Fax Number: (719 _ 346-8088
CC: STATE OR FEDERAL LANDOWNER(if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )-