PERMFILE41717

• Permit No: M2000082
• IBM Index Class Name: Permit File
• Doc Name: REGULAR 112 RECLAMATION PERMIT APPLICATION EAST 8TH STREET OPERATION GREELEY COLO
• Media Type: D
• Archive: No

- 3 -
14. Correaoondence information:
APPLICANT/OPERATOR (name, address, anpd ph of name to be used on permit) A I ~L
Contact's Naroe: • kG /~ ~ Title: .., I CtS • d t n-f
L. {~
Company Name: ~r c r "~" - Wrest ~P/t~" ~t~n ..1.! .L
Street:
City:
State: trn In rc ~o Zip Cade: ~/~ ]3 ~
Telephone Number: ( ~D 3 1- ~ l ,. ' S3 \~
Fax Number: ~~, - _ ~-1 b ' ~ ~~101
PERMITTING CONTACT (if different from applicanUoperator above)
Contacts Name: Title:
Company Name:
Street:
Cin':
State:
Telephone Number.
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name
Street:
Ciry
Zip Code:
( 1-
Title:
State: Zip Cade:
Telephone Number. ( 1-
Fax Number: ( 1 -
CC: STATE OR FEDERAi LA - OWNER (f snvl
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1 - _
CC: STATE OR FEDERAL LANDOWNER (if strvl
Agency:
S[teet
City:
State:
Cade:
Telephone Number