2023-04-26_PERMIT FILE - M2023014 ‎(3)‎

• Permit No: M2023014
• IBM Index Class Name: Permit File
• Doc Date: 4/26/2023
• Doc Name: Application
• From: Cheyenne County
• To: DRMS
• Email Name: NCG
• Email Name: AME
• 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: Many L. Brossman Title: County Administrator
Company Name: Cheyenne County
Street/P.O.Box: 51 South 1 st Street P.O.Box: 567
City: Cheyenne Wells
State: Colorado Zip Code: 80810
Telephone Number: (719 _ 767-5872
Fax Number: (719 _ 767-5753
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: Jim Brown Title: Road & Bridge Foreman
Company Name: Cheyenne County
Street/P.O.Box: 51 South 1 st Street P.O.Box: 567
City: Cheyenne Wells
State: Colorado Zip Code: 80810
Telephone Number: (719 )_ 342-2925
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: None
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: None
Street:
City:
State: Zip Code:
Telephone Number: f )-