2023-08-03_PERMIT FILE - M2023025

• Permit No: M2023025
• IBM Index Class Name: Permit File
• Doc Date: 8/3/2023
• Doc Name Note: Application Form and Payment
• Doc Name: Application
• From: J & T Consulting Inc.
• To: DRMS
• Email Name: RDZ
• Email Name: MAC
• Email Name: AWA
• 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: Andy Carpenter Title:
Company Name: IHC Scott, Inc.
Street/P.O.Box: 10303 East Dry Creek Road, #300 P.O.Box:
City: Englewood
State: CO Zip Code: 80112
Telephone Number: (303 )_ 790-9100
Fax Number: ( )-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: J.C. York Title: Principal/Owner
Company Name: AT Consulting, Inc.
Street/P.O.Box: 305 Denver Avenue, Suite D P.O.Box:
City: Fort Lupton
State: Colorado Zip Code: 80621
Telephone Number: (970 )_ 222-9830
Fax Number: )-
INSPECTION CONTACT
Contact's Name: Same as Applicant/Operator 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: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( )-