PERMFILE40266

• Permit No: M1991075
• IBM Index Class Name: Permit File
• Doc Date: 6/28/1991
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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9.
Correspondence Information:
APPLICADIT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: KTDwn rnttNTV_ r.nuann
COnlpdny Name: KIOWA COUNTY. COLORADO
Street: P. d ..~ ~ q /
C i t:y : EADS
Steite: col,oRADO Zip Code: s1o36
Area Code: 7I9 Telephone: 438-Salo
Individual's Name:
Company Name:
Street:
C i ty
State:
Area Code:
PERMITTING CONTACT (if different from applicant/operator above)
INSPECTION CONTACT
Individual's Name:
Cortipany Name:
Street:
City:
State:
Area Code:
SAME
Zip Code:
Telephone:
Zip Code:
Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: NJA
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
City:
State: Zip Code:
Area Code: Telephone: