PERMFILE55961

• Permit No: M1994077
• IBM Index Class Name: Permit File
• Doc Date: 7/28/1994
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-Z-
9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Ndme: Board of Countv Commissioners
Company Ndme: Washington Countv
Street: 150 Ash
City: Akron, CO.
State: Colorado Zip Code: an »n
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name
Company Name:
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name
Company Name:
Street:
City:
State:
Area Code:
W. B. Pavnter
Washington County Attorney
117 I4ain P 0 Rox A
Akron
Colorado Zip Code: R07~0
303 Telephone: [phone]
Larry Champ
Anton
~4.~.,,.,._ Z i p Code : ~,,,
303 Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: zone
Street:
City:
State:
Area Code: Telephone:
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State:
Area Code: Telephone:
Zip Code: