PERMFILE63531

• Permit No: M2007003
• IBM Index Class Name: Permit File
• Doc Date: 1/16/2007
• Doc Name: Completeness
• From: DRMS
• To: AG Engineering and Environmental Services
• Media Type: D
• Archive: No

-2-
6. Correspondence Informatlon:
APPLICANT/OPERATOR (-n-at~ix. address, and phone of name to be used on permit)
Contact's Name: J chi Reec1 l e Title:
Cop~any Name: e ~ f
Street/P.O. Box: P.O. Box:
city: ('nlnm~ln Sixirrs
state: Colorado zipcoae:809110
Telephone Number: ~ ~ - ~ ~ 1 1390
Fax Number: r ~ - Non -
VFR7VIITTINGCONTACT (if different from applicant/opetator shove)
Contact's Name: c50L~ (~ C~--~J~ Title:
Company Name:
P.O. Box:
StrcetlP.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
P.O. Box:
City: //~~
State: " t'.(1 ~DCQd fl Zip Code: g I~ I
Telephone Number:( I Q l - cQ ~J- ~ ~~~
Fax Number: I~LS~ - -a~~ ~ ~ ~~
CC• STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Sheet:
City:
State: Zip Code:
Telephone Number: ( ) -
CC• STATE OR FEDERAL LANDOWNER fif anvl
Agency:
Street:
Ciry:
State:
Telephone Number:
Zip Code:
Title:
Zip Code: