2024-12-16_REVISION - M1977410 ‎(3)‎

• Permit No: M1977410
• IBM Index Class Name: Revision
• Doc Date: 12/16/2024
• Doc Name Note: Conversion Application
• Doc Name: Request For Conversion
• From: Grand Island Resources LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: JPL
• Email Name: JLE
• Email Name: EL1
• Email Name: LJW
• Email Name: THM
• Media Type: D
• Archive: No

14. Correspondence Information:
APPLICANT/OPERATOR(name,address,and phone of name to be used on permit):
Contact's Name: Richard D Mittasch Title: V.P.
Company Name: Grand Island Resources, LLC.
Street: 12567 W Cedar Dr, Suite 110 P.O.Box:
City: Lakewood
State: CO Zip Code: 80228
Telephone Number: (501 ) - 256-4444
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: Ben Langenfeld Title:
Company Name: Lewicki &Associates
Street: 3375 W Powers Circle P.O.Box:
City: Littleton
State: CO Zip Code:80123
Telephone Number: (303 ) - 960-5613
Fax Number: ( ) _ [e-mail]
INSPECTION CONTACT:
Contact's Name: Richard D Mittasch Title: VP
Company Name: Grand Island Resources, LLC.
Street: 12567 W Cedar Dr, Suite 110 P.O.Box:
City: Lakewood
State: CO Zip Code: 80228
Telephone Number: ( 720 ) - 893-3749
Fax Number: ( 720 ) - 285-2273
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: ( ) -
4