2015-07-27_REPORT - P2009009

• Permit No: P2009009
• IBM Index Class Name: Report
• Doc Date: 7/27/2015
• Doc Name: Annual Fee, Report & Map
• From: Atomic Perfection
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

Division records indicate the following permittee/landowner contact information. If this information is not current, please
type or print current contact information: Rule 5.6.1(a, b).
Permittee Contact:
MikeWild
Permittee Company:
Atomic Perfection Inc.
Address:
P O Box 341
Lake George, CO80827-0341
Phone Number:
[phone]
Fax Number:
Email Address:
[e-mail]
Landowner Contact:
Landowner Address:
Landowner Phone
Number:
Landowner Email
I, the undersigned, hereby state
being conducted in accooano
P -AP -01
d accurate, and that site operations are
ns. Rule 5.6.1(h).
7l,;I 15
D to