2015-03-04_REVISION - M1985112

• Permit No: M1985112
• IBM Index Class Name: REVISION
• Doc Date: 3/4/2015
• Doc Name: Supplemental Application Materials AM01
• From: John S. Vazquez, P.E.
• To: DRMS
• Type & Sequence: AM1
• Email Name: PSH
• Media Type: D
• Archive: No

- 3 -
11. Correspondence Information:
APPLICANUOPERATOR
(name. address. and phone of name to be used on permit)
Contact's Name:
Robert A. Baker
Title: Secretary /Treasurer
Company Name:
Loloff Construction, Inc.
Street /P.O. Box:
801 8th Street Suite 130
P.O. Box:
City:
Greeley
State:
Colorado
Zip Code: 80631
Telephone Number:
( 970 _ 301 -4292
Fax Number:
( ) -
PERMITTING CONTACT
(if different from applicant - operator above)
Contact's Name:
John Vazquez
Title: Owners Representative
Company Name:
Street /P.O. Box:
106 Rock Bridge Ct
P.O. Box:
City:
Windsor
State:
Colorado
Zip Code: 80550
Telephone Number:
970 ) _ 217 -9965
Fax Number:
L ) -
INSPECTION CONTACT
Contact's Name:
Darwin Derr
Title: Operations Manager
Company Name:
Mill Iron Mining, LLC
Street,'P.O. Box:
610 Balsam
P.O. Box:
City:
Greeley
State:
Colorado
Zip Code: 80631
Telephone Number:
970 ) _ 301 -4292
Fax Number:
CC: STATE OR FEDERAL LANDOWNER (if and
Agency:
Sheet:
City:
State:
Zip Code:
Telephone Number:
( )
CC: STATE OR FEDERAL LANDON NER (if an.)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -