2015-03-09_REVISION - M1983148

• Permit No: M1983148
• IBM Index Class Name: REVISION
• Doc Date: 3/9/2015
• Doc Name: Application AM01
• From: Montrose County
• To: DRMS
• Type & Sequence: AM1
• Email Name: GRM
• Email Name: WHE
• 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: Dean Cooper
Title:
Company Name: Montrose County
Street/P.O. Box: 949 N. 2nd. Street
P.O. Box:
City: Montrose
State: Co
Zip Code: 81401
Telephone Number: ( 970 ). 252 -7001
Fax Number: ( ) -
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
Contact's Name:
Title:
Company Name:
Street/P.O. Box:
P.O. Box:
City:
State:
Zip Code:
Telephone Number: (
Fax Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( 1-