2022-04-19_REVISION - C1981019

• Permit No: C1981019
• IBM Index Class Name: Revision
• Doc Date: 4/19/2022
• Doc Name: Application
• From: Tri-State Generation and Transmission Association, Inc.
• To: DRMS
• Type & Sequence: RN8
• Email Name: ZTT
• Email Name: JDM
• Media Type: D
• Archive: No

DocuSign Envelope ID:06443DA4-4321-4509-A424-OD72FB891025
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6. Correspondence Information
APPLICANT/OPERATOR (Name, Address and Phone of Name to be used on Permit)
Individual's Name: Barbara Walz
Company Name: Tri-State Generation &Transmission Association, Inc.
Street: 1100 West 116th Avenue
City: Westminster, CO 80234
State:
Telephone: [phone]
PERMITTING CONTACT (If different from Applicant/Operator above)
Individual's Name: Chris Gilbreath
Company Name: Tri-State Generation &Transmission Association, Inc.
Street: 1100 West 116th Avenue
City: Westminster, CO 80234
State:
Telephone: [phone]
INSPECTION CONTACT (If different from Applicant/Operator above)
Individual's Name: Tony Tennyson
Company Name: Tri-State Generation &Transmission Association, Inc.
Street: 1100 West 116th Avenue
City: Westminster, CO 80234
State:
Telephone: (970) 326-3560
7. Location Information: The center of the operation lies in -
County: Moffat
USGS Quadrangle: Axial Colo, Nine Mile Gap Colo
Principal Meridian (check one): II✓6th (Colorado) _ 10th (New Mexico) 0 Ute
Township (Write number and check direction): 3 _ ❑✓ North ❑South
Range (Write number and check direction): 93_ _ East F_Wesil"
Section: 3 Quarter Section (Check one): ONE❑NW OSE F SW
Quarter-Quarter Section (Check one): NE I �NWD SE OSW
Longitude (Write number): ___ Degrees (102-110) __ Minutes (0-60)
Seconds (0.00-60.0)
Latitude (Write number): ___ Degrees (37-41) __ Minutes (0-60)
Seconds (0.00-60.0)