2015-03-24_REVISION - M1986074

• Permit No: M1986074
• IBM Index Class Name: REVISION
• Doc Date: 3/24/2015
• Doc Name: Notices CN01
• From: DRMS
• To: Various
• Email Name: ERR
• Media Type: D
• Archive: No

a
-3-
11. Correspondence Information:
APPLICANT /OPERATOR (name. address. and phone of name to be used on permit)
Contact's Name: Kym SdMKe
Title: Owner
Company Name:
Street/P.O. Box:
12826 Co. Rd. 37
P.O. Box:
City:
Sterling
State:
CO
Zip Code: 80751
Telephone Number.
L970 } _ 520 -6808
Fax Number.
PERMITTING CONTACT
(if differept from applicant/operator above)
Contacts Name:
Randy Schafer
Title:
Company Name:
Street/P.O. Box:
40586 Co. Rd. 21
P.O. Box:
City!
Haxtun
State:
CO
Zip Code: 80731
Telephone Number.
( 970 } _ 774 -6264 (home); 970 - 520 -0502 (Cell); 970 - 854 -3778 (Work)
Fax Number.
( 970 } _ 854 -3811
INSPECTION CONTACT
Contacts Name:
Same as the Applicant/Owner
Title:
Company Name:
Street/P.O. Box:
P.O. Box:
City:
State:
Zip Code:
Telephone Number.
( )
Fax Number.
CC: STATE OR FEDERAL LANDOWNER (if any}
Agency:
Street:
City:
State:
Zip Code:
Telephone Number.
( } -
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
Street-
City-
State:
Zip Code:
Telephone Number.
l } -