2018-05-30_PERMIT FILE - M2018028

• Permit No: M2018028
• IBM Index Class Name: Permit File
• Doc Date: 5/30/2018
• Doc Name: Application
• From: Tom Zimmerman
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Media Type: D
• Archive: No

-2-
9. Correspondence Information:
APPLICANT/OPERATO
R
(name,address,and phone of name to be used on permit):
Contact's Name: Title: AI
Company Name:
Street: S7SI - �.S r �cdcl 60 P.O.Box:
City: A
State: CO. Zip Code: 01 Z)2-
Telephone Number: ( W 9 ) - 371 — Zo0�
Fax Number:
PERMITTING CONTACT (c__if different from applicant/operator above): _A
Contact's Name: ]di oe- Love Title: Ar.
Company Name: nA=
Street: s—o7 /Llt crow ✓ — P.O.Box: �~
City: � IA011 C1 ,
State: Co. Zip Code: 91 z I z.
Telephone Number: ( 7/9
Fax Number:
INSPECTION CONTACT:
Contact's Name: of e Title: MI--
Company Name: / 4
Street: S-07 Crree Woo ✓'e- P.O.Box: 4
City: aln or` CI
Ij
State: Co. Zip Code:
Telephone Number:
Fax Number: ( L -
CC: STATE OR FEDERAL LANDOWNER(if any):
Agency: a. s. mr /�arJtd /�/ctAa'�I�1ercC
Street: 3/►V zgs� /�lit�� ��7ee�
City:
State: Zip Code: S�.ZI2-
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER if any): I
Agency: SawP_ 0.S "eye—
Street:
City:
State: Zip Code:
Telephone Number: ( Z -