PERMFILE63504

• Permit No: M1993088
• IBM Index Class Name: Permit File
• Doc Date: 11/26/1993
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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t 9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: BACP. COI:NTY BOARD OF COUNTY COMMISSIONERS
Company Name: BACA COUNTY, CCLORP,DG
Street: 741 MAIN STREET, P. O. BOX l16
City: SPRINGFIELD
State: COLORADO Zip Code :81073
' Area Code: (719) Telephone: [phone] y ~~ ~22 'lD 5 ~
PERMITTING CONTACT (if different from applicant/operator above)

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Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name
Company Name:
Street:
City:
State:
Area Code:
Zip Code:
Telephone:
RAY MILLER, COMMISSIONER
BACA COUNTY COMMISSIONERS
741 MAIN STREET. P. O. BOX 116
SPRINGFIELD,
COLORADO Zip Code: 81073
(719) Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER (if an
Agency:
Street:
City:
State:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDCWNER (if any>
Agency:
Street:
City:
State:
Area Code:
Zip Code:
Telephone:
Zip Code:
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