2015-06-03_REVISION - M1997100

• Permit No: M1997100
• IBM Index Class Name: REVISION
• Doc Date: 6/3/2015
• Doc Name: Notices AM01
• From: DRMS
• To: Various
• Type & Sequence: AM1
• Email Name: AME
• Media Type: D
• Archive: No

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APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Gravy D. HIIII Title: A I M of COrMbWonwo Chairman
Company Name: Las Animas County
Street/P.O. sox: 200 E. 1 st Street Room 110 P.O. Box:
City: Trinidad
State: Colorado Zip Code: 81082
Telephone Number: j719 )-846-2568
Fax Number. J19 ).846-2598
PERMITTMG 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
Telephone Number.
Fax Number:
( 719 ) _ 846-2931
719 ) - 846-0434
Zip Code: 81082
INSPECTION CONTACT
Contact's Name: Dorenkamp Title:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number. L -
P.O. Box:
Zip Code:
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if am)
Agency:
Street:
City:
State:
Telephone Number: ( ) -
Zip Code: