2017-03-09_REVISION - M1991037

• Permit No: M1991037
• IBM Index Class Name: Revision
• Doc Date: 3/9/2017
• Doc Name: Request for Conversion
• From: High Speed Mining
• To: DRMS
• Type & Sequence: CN1
• Email Name: MAC
• Email Name: WHE
• Media Type: D
• Archive: No

-3-
l3. Correspondence Information:
APPLICANTIOPERATOR (name, address, and phone of name to be used on permit)
Individual's Name:
Lance Bailer
Title: President
Company Name:
High Speed Mining, LLC
Street/P.O. Box.
8480 East Orchard Road, Suite 4900
P.O. Box:
City:
Greenwood Village
State:
CO
Zip Code: 80111
Area Code:
( 303 ] Telephone: [phone]
Fax Number:
Telephone:
PERMITTING CONTACT
(if different from applicantlopeiator above)
Individual's Name:
Ben Langenfeld
Title: Partner
Company Name:
Greg Lewicki and Associates
Street/P.O. Box:
3375 W Powers Circle
P.Q. Box:
City:
Littleton
State:
CO
Zip Code: 50123
Area Code:
( 720 _ l Telephone: [phone]
Fax Number:
( ) Telephone:
INSPECTION CONTACT
Individual's Name:
Company Name:
Street/P.O. Box:
City:
State:
Area Code:
Fax Number:
Lance Bailer Title: Preeldent
High Speed Mining, LLC
8480 East Orchard Road, Suite 4900 P.O. Box:
CO
CO
(303 )
CC: STATE OR FEDERAL LANDOWNER (if any)
Telephone: [phone]
Telephone:
Zip Code: 80111
Agency:
Street:
City:
State: Zip Code:
Area Code: ( ) Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Area Code: ( 1 Telephone: