2016-09-13_PERMIT FILE - M2016022 ‎(2)‎

• Permit No: M2016022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/13/2016
• Doc Name: Addendum To Application
• From: Arnold's Custom Seeding
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

-2-
1 1. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Rick Gillan Title: Vice President
Company Name: Arnolds Custom Seeding, LLC
Street/P.O.Box: 4626 CR 65 P.O. Box:
City: Keenesburg
State: Colorado Zip Code: 80643
Telephone Number: ( 303 _ 732-4021
Fax Number: ( 303 I. 732-0510
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Darren Dever Title: Supervisor
Company Name: Arnolds Custom Seeding, LLC
Street'P.O.Box: 4626 CR 65 P.O.Box:
City: Keenesburg
State: Colorado Zip Code: 80643
Telephone Number: (303 )_ 732-4021
Fax Number: ( 303 )_ 732-0510
INSPECTION CONTACT
Contact's Name: Same as Permitting Contact Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( )-
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: i )-