2015-03-09_REVISION - M1994114

• Permit No: M1994114
• IBM Index Class Name: REVISION
• Doc Date: 3/9/2015
• Doc Name: Response To Preliminary Adequacy Review CN01
• From: Azurite, Inc
• To: DRMS
• Type & Sequence: CN1
• Email Name: TOD
• 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: Andy Kagan '
Company Name: KAGAN & SON, L.L.C.
Street/P.O. Box: 555 Ernest Avenue P.O. Box:
City: Westcliffe
State: CO Zip Code: 81252
Title: Owner
Telephone Number.
( 719 1-783-9636
Fax Number:
( 719 1-783-9636
PERMITTING CONTACT
(if different from applicantloperator above)
Contact's Name:
Ken Klco
Company Name:
Azurite, Inc.
Street/P.O. Box:
Title:
P.O. Box: 338
City: Cotopaxi
State: CO Zip Code: 81223
Telephone Number: ( 719 _ 942 -4178 cell: 719 - 207 -3973 email: azurite @wildblue.net
Fax Number: ( 719 1-942-4178
INSPECTION CONTACT
Contact's Name: Andy Kagan Title: Owner
Company Name: KAGAN & SON, L.L.C.
Street/P.O. Box: 555 Ernest Avenue P.O. Box:
City:
Westcliffe
State:
CO
Telephone Number:
( 719 1-783-9636
Fax Number:
( 719 1-783-9636
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
( 1-
Zip Code: 81252
Zip Code:
Zip Code: