2016-02-18_PERMIT FILE - M2016002 ‎(3)‎

• Permit No: M2016002
• IBM Index Class Name: Permit File
• Doc Date: 2/18/2016
• Doc Name: Responses to Notice of Deficiencies
• From: Ian Merkel
• To: DRMS
• Email Name: TC1
• Email Name: WHE
• Media Type: D
• Archive: No

-2-
9. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit):
Contact's Name: Donald J. Self Title: Owner
Company Name:
Street: P.O. Box: 473
City: Indian Hills
State: Colorado Zip Code: 80454
Telephone Number: A03 _ 898-7539
Fax Number: ( -
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: Ian Merkel Title: Geologist
Company Name:
Street: 2711 Fillmore Street P.O.Box:
City: Denver
State: Colorado Zip Code: 80205
Telephone Number: (303 _ 859-8924
Fax Number:-----------------------------------
( 1 -
C
ON CONTA ---- ----------- -- _ _
ame: Donald J. Self Title: Claim owner
ame:
P.O.Box: 473
Indian Hills
Colorado Zip Code: 80454
umber: �303 _ 898-7539
r: -
CC: STATE OR FEDERAL LANDOWNER(ifany):
Agency: USDA Amy Titterington
Street: 320 Highway 285
City: Fairplay
State: Colorado Zip Code: 80440
Telephone Number: 219 _ 836-3871
CC: STATE OR FEDERAL LANDOWNER if any):
Agency:
Street:
City:
State: Zip Code:
Telephone Number: 1 ) -