2017-07-25_REVISION - C1981028

• Permit No: C1981028
• IBM Index Class Name: Revision
• Doc Date: 7/25/2017
• Doc Name Note: Revised
• Doc Name: Application
• From: DRMS
• To: Coors Energy
• Type & Sequence: RN7
• Email Name: RAR
• Email Name: DIH
• Media Type: D
• Archive: No

5. 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:
003 l 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�8 Tampa r
Principal Meridian (check one): L .16th (Colorado)_ 10th (New Mexico) u Ute
Township (Write number and check direction): 03_ Z North []youth
Range (Write number and check direction): 64 _ _ East ❑ L I
West
Section: 25 Quarter Section (Check one): ONE 11 NW OSE 0 SW
Quarter -Quarter Section (Check one): II NE DNW EISE F/1SW
Longitude (Write number): 104 _ Degrees (102-110) 2-9— 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)