2024-04-15_PERMIT FILE - M2023038

• Permit No: M2023038
• IBM Index Class Name: Permit File
• Doc Date: 4/15/2024
• Doc Name: Application
• From: Twin Buttes Land Co, LLC
• To: DRMS
• Email Name: ACY
• Email Name: THM
• Email Name: EL1
• Media Type: D
• Archive: No

-2-
7. Correspondence Information:
APPLICANT/OPE(MATOOUname,address and phone of name to be used on permit)
Contact's Name: l0e/1 ,Co GAN/TSDA) Title: / /61.0 ciE iC
Company Name: 77;0/41 18(.CZTt5' 24-7/e/
Street/P.O.Box: P.O.Box: /g®
City:
State: 691X/tacie Zip Code: eWg-
Telephone Number: ( q70 - l0 4'
Fax Number: ( 1-
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: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( 1-
Fax Number. J 1-
CC: STATOR 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: ( 1-