2022-03-03_PERMIT FILE - M2021025

• Permit No: M2021025
• IBM Index Class Name: Permit File
• Doc Date: 3/3/2022
• Doc Name: Response to Deficiencies
• From: Bruce Newell
• To: DRMS
• Email Name: ERR
• Email Name: JDM
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Bruce Newell Title: Executor of State
Company Name:
Street/P.O.Box: 21478 S Hwy 67 P.O. Box: 37
City. Divide
State: Colorado Zip Code: 80814
Telephone Number: (719 )_ 4330929
Fax Number: ( )-
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: ( )-