2016-10-28_REVISION - C1981028

• Permit No: C1981028
• IBM Index Class Name: Revision
• Doc Date: 10/28/2016
• Doc Name: Application
• From: Coors Energy Company
• To: DRMS
• Type & Sequence: RN7
• Email Name: TNL
• Email Name: DIH
• Media Type: D
• Archive: No

2
6. Correspondence Information
APPLICANT/OPERATOR (Name, Address and Phone of Name to be used on Permit)
Individual's Name: Benjamin Moline
Company Name:
Molson Coors Brewing Company
Street:
1801 California Street, Suite 4600
City:
Denver
State:
CO
Telephone:
P003 927-3680
PERMITTING CONTACT
(If different from Applicant/Operator above)
Individual's Name:
Company Name:
Street:
City:
State:
Telephone:
INSPECTION CONTACT
(If different from Applicant/Operator above)
Individual's Name:
Company Name:
Street:
City:
State:
Telephone:
7. Location Information: The center of the operation lies in -
County: Weld
USGS Quadrangle: Klug Ranch & Tampa
Principal Meridian (check one): Lr .f 6th (Colorado) 10th (New Mexico) 171 Ute
Township (Write number and check direction): 03 _ Lam! North L__i5outh
Range (Write number and check direction): 64 _ _rEast [] Wesl 7/1
Section: 25 Quarter Section (Check one). DINE��L�_1 NW t" ISE I? SW
Quarter -Quarter Section (Check one): l= NE ENWEI SE ✓ ISW
Longitude (Write number): 104 _ Degrees (102-110) 29 _ Minutes (0-60)
48.0 Seconds (0.00-60.0)
Latitude (Write number): 40 _ _ Degrees (37-41) 11 _ Minutes (0-60)
36 0 Seconds (0.00-60.0)