2025-04-04_REVISION - M1982186

• Permit No: M1982186
• IBM Index Class Name: Revision
• Doc Date: 4/4/2025
• Doc Name: Request For Amendment To Permit
• From: Kit Carson County
• To: DRMS
• Type & Sequence: AM2
• Email Name: BEH
• Email Name: ZTT
• Email Name: EL1
• Media Type: D
• Archive: No

-3-
H. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: DAVE HORNUNG Title: COUNTY COMMISSIONER
Company Name: KIT CARSON COUNTY
Street/P.O.Box: 1650 DONELAN AVE P.O.Box: 160
City: BURLINGTON
State: COLORADO Zip Code: 80807
Telephone Number: (719 )_ 349-5655
Fax Number: (719 )_ 346-7242
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: THERESA KORBELIK Title: COUNTY ADMINISTRATOR
Company Name: KIT CARSON COUNTY
Street/P.O.Box: 1650 DONELAN AVE P.O.Box: 160
City: BURLINGTON
State: COLORADO Zip Code: 80807
Telephone Number: (719 )_ 346-8133
Fax Number: (719 )_ 346-7242
INSPECTION CONTACT
Contact's Name: DAVE HORNUNG Title: COUNTY COMMISSIONER
Company Name: KIT CARSON COUNTY
Street/P.O.Box: 1650 DONELAN AVE P.O.Box: 160
City: BURLINGTON
State: COLORADO Zip Code: 80807
Telephone Number: (719 )_ 349-5655
Fax Number: (719 _)_ 346-7242
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: ( )-