2004-10-28_PERMIT FILE - M2004067

• Permit No: M2004067
• IBM Index Class Name: Permit File
• Doc Date: 10/28/2004
• Doc Name: 112‎(c)‎ New Appl
• From: Clear Creek District Water Providers LLC
• To: DMG
• Media Type: D
• Archive: No

-3-
14 Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
contact's Name: Robert A. Lembke Title: wlanag@r
Company Name Clear Creek District Water Providers. LLC
StreeUP.O. Box: 5460 South Quebec St.. Suite 110 P O. Box
city: Greenwood Village
State Colorado Ztp Code 80111
Telephone Number
Fax Number L_ 303 ) - 773-1176
PERMITTING CONTAC T (if ddferent from apphcandopem[or above)
Contact's Name Paul Gesso Title Principal
company Name: Banks and Gesso. LLC
Street/P O. Box: 720 Kioling St.. Suite 117 P O Box:
crry. Lakewood
State: COlOfadO Zip Code. R0~1F
Telephone Number { 303 ) _ 274-4277
Pax Number f 303 I- 97d_R39Q
INSPECTION CONTACT
Contact's Name Robert A. Lembke Title. Man ger
Company Name Clear Creek District Water Providers, LI C
StreeUP 0 Box 5460 Snuth Oneher. St. Rtrita 110 P.O. Box
C,ry. Greenwood Village
State Cnlnradn Ztp Code 80111
Telephone Number, f 303 1- 773-1005
Fax Number 1 303 1- 773-1176
CC STATE OR FEDERAL LANDOWNER (if any
Agency.
SlreeC
Crty.
State.
Zip Code
Telephone Number. ( 1-
CC STATE OR FEDERAL LANDOWNER hf any]
Agency: N/A
Street
Crty.
Stace
Zip Code
Telephone Number f 1-