2018-11-20_REVISION - M2018058

• Permit No: M2018058
• IBM Index Class Name: REVISION
• Doc Date: 11/20/2018
• Doc Name: Completeness Response
• From: APC Southern
• To: DRMS
• Email Name: JPL
• Email Name: MAC
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT/OPERATOR (name,address, and t3hone of name to be used on permit)
Contacts Name: James MacDonald Title: Project Manager
Company Name: APC SOUTHERN CONSTRUCTION CO. LLC
Street/P.O. Box: 14802 West 44th Ave. P.O. Box:
City: Golden --—
State: Colorado Zip Code: 80403
Telephone Number: i 719 -�_ 250-1998
Fax Number.
PERMITTING CONTACT (if different from applicant/operator above)
Contacts Name: Same as above Title:
Company Name:
Street/P.O. Box: P.O.Box:
City: ---- ---- - -
State ---- -- __— Zip Code:_Telephone 11lzsmber:
Fax Number: (-_ ----_----- _
INSPECTION CONTACT
Contact's Nas.:e: Same as above Title:
Company Name: -- -------_-- —_-----
Strcet/P G.Tiox: P.O.Box:
City:
State: Zip Code:
Telephone Number: ----_-_--
Fax Number: �—
CC: STATE Olt FEDERAL LANDOWNER (ir_ice
Agency: -- -------- --Street:
City-
State- --— -------------- ---- --- Zip Code: --
Telephone Number:
CC: STATE OR EDERAL LANDOWNER l any)
Agency: ----- --- -- ---- - --
Street:
City: -- ---- ----------- ------ -
State ---- --- - -- --- --- Zip Code:
Telephone Numb,.r: ; ---—-A ----- — --- ---