2023-09-08_REVISION - M2006042

• Permit No: M2006042
• IBM Index Class Name: Revision
• Doc Date: 9/8/2023
• Doc Name: Request For Amendment To Permit
• From: MMM Partnership
• To: DRMS
• Type & Sequence: AM1
• Email Name: NCG
• Email Name: AME
• Email Name: AWA
• Media Type: D
• Archive: No

-3-
1. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Mark Kokes Title: President/General Partner
Company Name: MMM Partnership
Street/P.O.Box: 36366 Cty Rd 79 P.O.Box:
City: Crook
State: Colorado Zip Code: 80726
Telephone Number: (970 )_ 467-7780
Fax Number:
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Mark Kokes Title:
Company Name: Same as above
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number:
Fax Number: ( _
INSPECTION CONTACT
Contact's Name: Mark Kokes Title:
Company Name: Same as above
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: ( )_