2015-07-22_REVISION - M2013084

• Permit No: M2013084
• IBM Index Class Name: REVISION
• Doc Date: 7/22/2015
• Doc Name: Notices
• From: DRMS AM01
• To: Various
• Type & Sequence: AM1
• Email Name: ERR
• Email Name: WHE
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: RM* SdUAW Title: Administrator/Planner
Company Name: Phillips County
Street/P.O. Box:
221 S. Interocean Ave.
P.O. Box:
City:
Holyoke
State:
Co
Zip Code: 80734
Telephone Number:
( 970 _ 854-3778, Cell 970-520-0502
Fax Number:
( 970 ) _ 854-3811
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
same
Title:
Company Name:
Street/P.O. Box:
P.O. Box:
City:
State:
Zip Code:
Telephone Number:
(
Fax Number:
( ) -
INSPECTION CONTACT
Contact's Name:
same
Title:
Company Name:
Street/P.O. Box:
P.O. Box:
City:
State:
Zip Code:
Telephone Number:
( ]
Fax Number:
( 1 -
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:
L ) -