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2025-04-28_REVISION - M2023002 (16)
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2025-04-28_REVISION - M2023002 (16)
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Entry Properties
Last modified
6/25/2025 9:59:54 PM
Creation date
4/29/2025 10:45:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2023002
IBM Index Class Name
Revision
Doc Date
4/28/2025
Doc Name
Request For Amendment To Permit
From
George L. Quist
To
DRMS
Type & Sequence
AM1
Email Name
ERR
ZTT
EL1
Media Type
D
Archive
No
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-2- <br /> 9. Correspondence Information: <br /> APPLICANT/OPERATOR(name,address,and phone of name to be used on permit): <br /> Contact's Name: Cie r a L.L. 6...0- Title: -d W K{r <br /> Company Name: Q LL:s Ad ; n;..5 <br /> Street: I$H g Tr.: I t r a e k f A. P.O.Box: <br /> City: /...t.. Geer' a <br /> State: Co 14 rad o Zip Code: Fb r.1.7 <br /> Telephone Number: (7/9 ) - 337 • 06 /o '7 <br /> Fax Number: ( ) - etia:t e :1 <br /> q�ui,5+E1..a4- .t .c.co,ti <br /> PERMITTING CONTACT(if different from applicant/opelitbr above): <br /> Contact's Name: inn:4-tr S. QL.'is t Title: <br /> Company Name: <br /> Street: J f N 4 Ti,:i C r ..k sad, P.O.Box: <br /> City: Aala Gram • <br /> State: C e (era old Zip Code: f 61'2.7 <br /> Telephone Number: ( in I ) - 97f- /H 7.T <br /> Fax Number: ( 1 - rtwa:/ 9 i .s4 A'1 4 d+"A:I . to,„, <br /> INSPECTION CONTACT: <br /> Contact's Name: 6 e o r, 4 L. 0 k:.r t Title: cs s+A,, <br /> Company Name: 6a4,;r.f r t:r.:..5 <br /> Street: n u q Tr ll. I t r+. IC got P.O.Box: 2 <br /> City: LA_ILA_ G. aar, t ' <br /> State: C 0 /o re-d o Zip Code: 70$'.2 7 <br /> Telephone Number: ( 7/4 ) - 331 - 26 G , <br /> Fax Number: ( ) - <br /> CC: STATE OR FEDERAL LANDOWNER(if any): <br /> Agency: USDA— Far..s t Sarv:c4 4.i'a J1/t+''a.r♦ I rarao'04SaRaft Pa.rl( IL ti:c• <br /> Street: 3 20 GI K w./ 2 fc Q 6•B,x 201 <br /> City: F4:r p !a.y <br /> State: Ca I e r 4.4 o Zip Code: d'D 4/VD <br /> Telephone Number: ( 7/9 ) - '3L -2,G 31 <br /> CC: STATE OR FEDERAL LANDOWNER(if any): <br /> Agency: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Telephone Number: ( ) - <br />
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