2022-09-09_PERMIT FILE - M2022040

• Permit No: M2022040
• IBM Index Class Name: Permit File
• Doc Date: 9/9/2022
• Doc Name: Application
• From: Hidden Mesa Ranch, LLC
• To: DRMS
• Email Name: RDZ
• 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: U , c G\cCx c L \ Title:
Company Name: 1 i tt z1 1 AA e S c, QGu (.
Street/P.O.Box: 3 I`6 3 P.O.Box:
City: G:i� �_ ,,�, ,( Au
State: l'.O Zip Code: l S d
Telephone Number: ( U U )- `Al S C1
Fax Number: ( C{) d )- Lk
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
Title: M-Yit14r'
Company Name: ES r',,e. LL-.C--
Street/P.O.Box: {V Ln d t A P.O.Box: !c
City: (a--6: t s�
State: CC) Zip Code:
Telephone Number: ( `f 70
Fax Number:
INSPECTION CONTACT
Contact's Name: S`Lt^A-e- (Ar �t✓'-j CGf1'�--jc_f 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: aka
Street:
City:
State: Zip Code:
Telephone Number: L )-