2015-06-09_PERMIT FILE - M2015022

• Permit No: M2015022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/9/2015
• Doc Name: Response
• From: US Army Corp Engineers
• To: DRMS
• 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:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
Lazy H Inc
34449 County Road 10 P.O. Box:
Keenesburg
CO Zip Code: 80643
1303 1. 4346650
30� 3 )_ 732-4568
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:Fax Number:
INSPECTION CONTACT
Contact's Name: William K. Havengar
Company Name: Lazy H Inc
Title:
P.O. Box:
Zip Code: —
Title: Owner
Street/P.O. Box:
34449 County Road 10 P.O. Box:
City:
Keenesburg
State:
CO Zip Code: 80643
Telephone Number:30(
3 1 _ 4346650
Fax Number:30(
3 _ 732-4568
CC: STATE OR FEDERAL LANDOWNER (if an
Agency:
Street:
City:
State:
Telephone Number:
SATE OR FEDERAL LANDOWNER (if an
Agency:
Street:
City:
State:
Telephone Number:
-4-
Zip Code:
Zip Code: