2025-09-02_REVISION - M2011017 ‎(4)‎

• Permit No: M2011017
• IBM Index Class Name: Revision
• Doc Date: 9/2/2025
• Doc Name: Request For Conversion
• From: CRC Inc
• To: DRMS
• Type & Sequence: CN1
• Email Name: BFB
• Email Name: ZTT
• Media Type: D
• Archive: No

I
-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit)
Contact's Name: Call Cain Title: President
Company Name: CRC Inc.
Street/P.O.Box: PO Box 322 P.O.Box:
City: Hayden
State: CO Zip Code: 81639
Telephone Number: (970 )_ 756-5305
Fax Number: ( )-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Sydney Connor Title: Engineer
Company Name: Lewicki &Associates
Street/P.O.Box: 3375 W Powers Circle P.O.Box:
City: Littleton
State: CO Zip Code: 80123
Telephone Number: (719 )_ 323-9867
Fax Number: ( )-
INSPECTION CONTACT
Contact's Name: Title:
Company Name:
Street/P.O.Box: P.O.Box:
City:
State: Zip Code:
Telephone Number: ( )-
Fax Number: ( )-
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: ( )-