2019-10-01_REVISION - M2017003

• Permit No: M2017003
• IBM Index Class Name: REVISION
• Doc Date: 10/1/2019
• Doc Name: Request for Conversion of Permit
• From: Colorado Calumet Co.
• To: DRMS
• Type & Sequence: CN1
• Email Name: ERR
• Email Name: MAC
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit):
Contact's Name: Bryan Lees Title: President
Company Name: Colorado Calumet Co, Inc.
Street: P.O.Box: 1169
City: Golden
State: Co Zip Code: 80402
Telephone Number: (303 _ 918-1879
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: Ben Langenfeld Title: Manager
Company Name: Greg Lewicki and Associates
Street: 3375 W Powers Circle P.O.Box:
City: Littleton
State: Co Zip Code: 80123
Telephone Number: (303 1 _ 960-5613
Fax Number: (303 _ 346-6934
INSPECTION CONTACT:
Contact's Name: Title:
Company Name:
Street: 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: 1 -
CC: STATE OR FEDERAL LANDOWNER(if any):
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -