2015-10-05_REVISION - M1982098

• Permit No: M1982098
• IBM Index Class Name: REVISION
• Doc Date: 10/5/2015
• Doc Name: Notices CN01
• From: DRMS
• To: Various
• Type & Sequence: CN1
• Email Name: ERR
• Email Name: WHE
• Media Type: D
• Archive: No

-3-
I L Correspondence Information:
APPLICANTtOPERATOR
(name, address, and phone of name to be used on permit)
Contact's Name:
Dave }omtmn9_
'
Title: Commssioner
Company Name:
Kit Carson County
Street/P.O. Box:
251 16th Street, Suite 101
P.O. Box: 160
City:
Burlington
State:
Colorado
Zip Code: 80807
Telephone Number:
( 719 _ 346-8133
Fax Number:
( 719 _ 346-7242
PERMITTING CONTACT
(if different from applicantloperator above)
Contact's Name:
Paula Weeks
T
Title: Administrator
Company Name:
Kit Carson County _
Street/P.O. Box:
251 16th Street, Suite 101
,...,....
P.O. Box: 160
City:
Burlington
State:
Colorado _
Zip Code:
Telephone Number:
( 719 } _ 346-8133
_80807
Fax Number:
( 719 _ 346-7242
INSPECTION CONTACT
Contact's Name:
Dave Hornung _
Title: Commissioner
Company Name:
Kit Carson County
Street/P.O. Box:
251 16th Street, Suite 101
P.O. Box: 160
City:
Burlington
State:
Colorado
Zip Code: 80807
Telephone Number:
( 719 ) _ 346-8133
Fax Number:7(
19_ _ ) - 346-7242
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
Street:
City:
_
State:
Zip Code:
Telephone Number:
f ) -
CC: STATE OR FEDERAL LANDOWNER (if any }
Agency:
Street:
City:
State:
_T
Zip Code:
Telephone Number:
( ] .