2021-05-24_PERMIT FILE - M2021035

• Permit No: M2021035
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/24/2021
• Doc Name: Application
• From: Yuma County
• To: DRMS
• Email Name: ECS
• Email Name: MAC
• Email Name: AWA
• 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: Don Marr Title: Mining Reclamation and Safety Coordinator
Company Name: Yuma County
Street/P.O.Box: 1310 S. Blake St. P.O.Box:
City: Wray
State: CO. Zip Code: 80758
Telephone Number: (970 )- 332-5718
Fax Number: (970 )- 332-3429
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: 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: ( )-