2018-11-15_PERMIT FILE - M2018060

• Permit No: M2018060
• IBM Index Class Name: PERMIT FILE
• Doc Date: 11/15/2018
• Doc Name: Application
• From: Bucklen Services Co.
• To: DRMS
• Email Name: ECS
• Email Name: MAC
• Media Type: D
• Archive: No

' -3 -
' 11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Darnel Clark Title: Manager
' Company Name: Bucklen Services Company
Street/P.O.Box: 804 North 25th Avenue P.O.Box:
' City: Greeley
State: Colorado Zip Code: 80631
Telephone Number: (970 )_ 353-0720
' Fax Number: ( )-
PERMITTING CONTACT (if different from applicant/operator above)
' Contact's Name: Jared Dains Title: Water Resource Engineer
Company Name: Applegate Group, Inc.
' 1490 W. 121stAvenue Suite 100
Street/P.O.Box: P.O.Box:
City: Denver
State: Colorado Zip Code: 80234
' Telephone Number: (303 )_ 452-6611
Fax Number: (303 )_ 452-2759
INSPECTION CONTACT
Contact's Name: Same as applicant/operator 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: ( )-