2017-12-15_REVISION - M1978332

• Permit No: M1978332
• IBM Index Class Name: REVISION
• Doc Date: 12/15/2017
• Doc Name: Request For Amendment To Permit
• From: Environment, Inc.
• To: DRMS
• Type & Sequence: AM2
• Email Name: JLE
• Email Name: WHE
• Media Type: D
• Archive: No

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1 1. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Caleb Liesveld Title: President
Company Name: ('nlnrado Rose Red Inc
Street/P.O. Box: 148 Cheyenne Ct. P.O. Box:
City: Lyons
State: CO Zip Code: 80540
Telephone Number: (303 )- 823-6023
Fax Number: (303 )- 823-6023
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Stevan L O'Brian (Steve) Title: President
Company Name: Environment, Inc
Street/P.O. Box: 7985 Vance Dr, #205A P.O. Box:
City: Arvada
State: CO Zip Code: 80003
Telephone Number: (303 )- 423-7297
Fax Number: (303 )- 423-7599
INSPECTION CONTACT
Contact's Name: Caleb Liesveld Title: President
Company Name: Colorado Rose Red, Inc.
Street/P.O. Box: 148 Cheyenne CL P.O. Box:
City: Lyons
State: CO Zip Code: 80504
Telephone Number: (303 )- 823-6023
Fax Number: (303 )- 823-6023
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: )-