2015-05-22_PERMIT FILE - M2015022

• Permit No: M2015022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/22/2015
• Doc Name: Notices
• From: DRMS
• To: Various
• Email Name: PSH
• Media Type: D
• Archive: No

-3-
15. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: William K. Havengar Title: Owner
Company Name: Lazy H Inc
Street/P.O. Box: 34449 County Road 10 P.O. Box:
City: Keenesburg
State: CO Zip Code: 80643
Telephone Number:30j 3 l - 434-6650
Fax Number:30( 3 ) _ 732-4568
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: William K. Havengar Title: Owner
Company Name: Lazy H Inc
Street/P.O. Box: 34449 County Road 10 P.O. Box:
City: Keenesburg
State: CO Zip Code: 80643
Telephone Number:30( 3 ) _ 434-6650
Fax Number:30L 3 _ 732-4568
CC: STATE OR FEDERAL LANDOWNER (if an
Agency:
Street:
City:
State:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
-4-
Zip Code:
Zip Code: