2015-05-27_REVISION - M1983148

• Permit No: M1983148
• IBM Index Class Name: REVISION
• Doc Date: 5/27/2015
• Doc Name: Notice AR01
• From: DRMS
• To: Montrose County
• Type & Sequence: AR1
• Email Name: DMC
• Media Type: D
• Archive: No

0
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14. CorreagondenceInformation:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: TIMOTHY L. ROBERT_$ Title:000N Y ENCTNFER
Company Name: MONTROSE COUNTY
Street: P.O. BOX 1289
City:
State: CO Zip Code: 81402
Telephone Number: ( 970 1 - 249-9791
Fax Number: ( 970 ) - 249-6680
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: SAME Title:
company Name:
Street:
City:
State: Zip Code:
Telephone Number: ( 1 -
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street:
City:
State:
SAME
Telephone Number: I
Fax Number: ( -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: NSA
Street:
City:
State:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N /A
Street:
City:
State:
Telephone Number:
Zip Code:
Zip Code:
Zip Code:
Title: