2022-12-22_REVISION - M1991080

• Permit No: M1991080
• IBM Index Class Name: Revision
• Doc Date: 12/22/2022
• Doc Name: Response to Deficiencies ‎(2 of 2)‎
• From: Russell Van Egmond
• To: DRMS
• Type & Sequence: CN1
• Email Name: ERR
• Email Name: MAC
• 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: Rum Van E9ffwW Title:
Company Name:
Street/P.O.Box: 546 Doe Valley Rd P.O.Box:
City: Guffey
State: co Zip Code: 80820
Telephone Number: (719 )- 689-0877
Fax Number: ( )-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Same as Above Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )Fax Number: ( -
INSPECTION CONTACT
Contact's Name: Same as Above 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: L )-