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-2- <br /> 11. Correspondence Information: <br /> APPLICANT/OPERATOR (name,address,and phone of name to be used on permit) <br /> Contact's Name: h a Csu.ticlyAN Title: OG)N G <br /> Company Name: Thc.` ()u/tfry ,(.L , C <br /> Street/P.O.Box: "/1 C7/ Rd 74 P.O.Box: <br /> City: Pf$e'/r%1) <br /> State: C,/or4dO Zip Code: rc/2.39 <br /> Telephone Number. ( o("TO )- a 75- 'l 3 95 <br /> Fax Number: ( )- <br /> PERMITTING CONTACT (if different from applicant/operator above) <br /> Contact's Name: 3o Aid CdizAlr;1/hA.n/ Title: Q td <br /> Company Name: c az.e L,,[.C <br /> Street/P.O.Box: s//D() (''Ty ad, 7(© • P.O.Box: <br /> City: ��-r li`A) <br /> State: CO Zip Code: '�/2 341 <br /> Telephone Number: ( 970 )- P275 -- hif3 95 <br /> Fax Number: ( )- <br /> INSPECTION CONTACT <br /> Contact's Name: J 9 hn (1t9ui.jC I Lf/leif Title: `xc)/ti <br /> Company Name: 771 r= $e-/ L <br /> Street/P.O.Box: .3 ''/OO (7 . /R of 74) P.O.Box: <br /> City: P�/'`b;rt/ <br /> State: C c Zip Code: S/Z <br /> Telephone Number: ( )- <br /> Fax Number: ( )- <br /> CC: STATE OR FEDERAL LANDOWNER(if any) <br /> Agency: <br /> Street: <br /> City: /1/ iq <br /> State: Zip Code: <br /> Telephone Number: ( )- <br /> CC: STATE OR FEDERAL LANDOWNER(if any) <br /> Agency: <br /> Street: <br /> City: /V( f'7' <br /> State: Zip Code: <br /> Telephone Number. ( )- <br />