2018-02-21_REVISION - M2008017 ‎(7)‎

• Permit No: M2008017
• IBM Index Class Name: Revision
• Doc Date: 2/21/2018
• Doc Name Note: Application
• Doc Name: Application
• From: Broken Arrow Investments, LLC
• To: DRMS
• Type & Sequence: AM1
• Email Name: ECS
• Email Name: WHE
• Media Type: D
• Archive: No

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11.Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: 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: ( ) -
Robert A. BakerRobert A. Baker Owner
Broken Arrow Investments, LLC
801 8th Street, Suite 130
Greeley
Colorado 80631
303 566-5090
J.C. York Principal / Owner
J&T Consulting, Inc.
305 Denver Avenue, Suite D
Fort Lupton
Colorado 80621
303 857-6222
303 857-6224
Kelly Hodge Manager
Broken Arrow Investments, LLC
801 8th Street, Suite 130
Greeley
Colorado 80631
303 566-5090
N/A
N/A