2024-01-18_PERMIT FILE - M2023031

• Permit No: M2023031
• IBM Index Class Name: Permit File
• Doc Date: 1/18/2024
• Doc Name: Application
• From: Michael Brown
• To: DRMS
• Email Name: ERR
• Email Name: MAC
• Email Name: EL1
• 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:
Michael Brown Title: Owner
Company Name: Michael Brown
Street/P.O.Box: 289 Highpoint P.O.Box:
City: Divide
State: Colorado Zip Code: 80414
Telephone Number: (719 )_ 648-5643
Fax Number: (N/A )-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: N/A Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )-
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Michael Brown Title:
Company Name: Michael Brown
Street/P.O.Box: 289 Highpoint P.O.Box:
City: Divide
State: Colorado Zip Code: 80414
Telephone Number: (719 )_ 648-5643
Fax Number: (NA )_
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: ( )-