2015-06-01_REVISION - M1997100

• Permit No: M1997100
• IBM Index Class Name: REVISION
• Doc Date: 6/1/2015
• Doc Name: Incompleteness Response AM01
• From: Las Animas County
• To: DRMS
• Type & Sequence: AM1
• Email Name: AME
• Email Name: WHE
• Media Type: D
• Archive: No

-3-
11.
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name. GWY D. HE Title- Board of Comn hers Ov*man
Company Name: Las Animas County
Street/P.O. Box: 200 E. 1 st Sbyet Room 110 P.O. sox:
City:
State:
Trinidad
Colorado
Telephone Number: (719 ) _ 846-2568
Zip Code: 81082
Fax Number:
( 719 ).846-2598
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Phil Dorenkamp Title:
Company Name:
Las Animas County
Street/P.O. Box:
2000 N. Linden Ave P.O. Box:
City:
Trinidad
State:
Colorado Zip Code: 81082
Telephone Number: ( 719 ) _ 84&2931
Fax Number: ( 719 ) _ 846-0434
Contact's Name: Dorenkamp Title:
Company Name:
Street/P.O, Box:
P.O. sox:
City:
State: Zip Code:
Telephone Number: ( ) Fax Number. L ) -
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: ( -