2019-05-22_PERMIT FILE - M2019026

• Permit No: M2019026
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/22/2019
• Doc Name: Application
• From: Michael Royer
• To: DRMS
• Email Name: ERR
• Email Name: MAC
• Media Type: D
• Archive: No

-2-
9. Correspondence Information:
APPLICANT/OPERATOR(name,address,and phone of name to be used on permit):
Contact's Name: Mic ae Royer Title: operator
Company Name:
Street: P.O.Box: 23
City: Villa Grove
State: Co Zip Code: 81155
Telephone Number: (970 L - 470-0973
Fax Number: ( Z -
PERMITTING CONTACT(if different from applicant/operator above):
Contact's Name: John rowley Title: Authorized Agent
Company Name:
Street: 382 Mcaarthur Dr P.O.Box:
City: Lone Tree
State: Co Zip Code: 80124
Telephone Number: (303 ) - 601-3534
Fax Number: ( ) -
INSPECTION CONTACT:
Contact's Name: O n rowley Title: Authorized Agent
Company Name:
Street: 382 Mcarthur Dr P.O.Box:
City: Lone Tree
State: Co Zip Code: 80124
Telephone Number: (303 ) - 601-3534
Fax Number: ) -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: USDA USFS
Street: 320 Hwy 285
City: Fairpiay
State: Co Zip Code: 80440
Telephone Number: 1 ) -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -