2015-09-24_REVISION - M1982098

• Permit No: M1982098
• IBM Index Class Name: REVISION
• Doc Date: 9/24/2015
• Doc Name: Application CN01
• From: Kit Carson County
• To: DRMS
• Type & Sequence: CN1
• Email Name: ERR
• Email Name: WHE
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
Dave Homung
Company Name:
Kit Carson County
Street/P.O. Box:
251 16th Street, Suite 101
City:
Burlington
State:
Colorado
Telephone Number:
C719 1-346-8133
Fax Number:
( 719 ) _ 346-7242
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Paula Weeks
Company Name:
Kit Carson County
Street/P.O. Box:
251 16th Street, Suite 101
City:
Burlington
State:
Colorado
Telephone Number:
( 719 1-346-8133
Fax Number:
( 719 ) _ 346-7242
INSPECTION CONTACT
Contact's Name:
Dave Hornung
Company Name:
Kit Carson County
Street/P.O. Box:
251 16th Street, Suite 101
City:
Burlington
State:
Colorado
Telephone Number:
( 719 ) _ 346-8133
Fax Number:
( 719- ) _ 346-7242
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
Title: Commssioner
P.O. Box: 160
Zip Code: 80807
Title: Administrator
P.O. Box: 160
Zip Code: 80807
Title: Commissioner
P.O. Box: 160
Zip Code: 80807
Zip Code:
Zip Code: