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3- <br />14. Correaoondence Intormatl~n: <br />APPLICANTlOPERATOR (name, addre~, and phone of name to be used ~ pemrit) <br />ContacPsNarne: Ed Benson Tom; Owner/Partner <br />Y_ C~~yN~; Benson Brothers <br />Street/P.O. Box: 21240 Austin Road P.O. Box: <br />City: Austin <br /> <br />Smote; Colorado Zip Code; 81410 <br />Tdepttone Number: { 970 ) _ 835-3128 <br /> <br />Fax Number: ( ) - <br /> <br />pERM1T17NG CGNTACT (if different from applicant/apaatar above) <br />Coavact'sNeme: Michael L. Ripp Title: Consultant <br /> <br />ComparryName: MVRResources.lnc. <br /> <br />S~/P,O. Box; 3990 Old Wagon Road p,O_ Box: 54 <br />City: Delta <br /> <br />Ste; Colorado ~p ~; 81416 <br />Telephone Number: { 970 ) - 874-5127 <br /> <br />Fax Number. { 970 ) _ 874-3161 <br />INSPECTION CONTACT <br />CantacYsName: Ed Benson Title: Owner/Partner <br />Company Name; Benson Brothers <br />Sueet/P.O. Box 21240 Austin Road p,p. ~; <br />Cgy.; Austin <br />State: Colorado y{p Cam; 81410 <br />Telephcne Number. { 970 ) _ 835-3128 <br />Fax Numb: ( ) - <br />~C• STATE OR FEDERA L LANDOWNER fif any) <br /> <br />Agexicy: <br /> <br />Street <br />City: <br /> <br />State: Zip Code: <br /> <br />Telephone Number. (_ ) - <br /> <br />CC: STATE OR FEDERA L LANDOWNIIt {if am) <br />Ageacy: <br />Stmt <br />City: <br /> <br />State: Zip Code: <br />Telephone Number: <br />