PERMFILE65564

• Permit No: M1977136
• IBM Index Class Name: Permit File
• Doc Date: 7/5/1996
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FOR PRATHER PIT FN 77-136
• Media Type: D
• Archive: No

-3-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contacts Name: RICK ULLOM Tit led'OIINTY ROAD SIIPFRVTSOR
Company Name: RIO BLANCO C OUNTY
Street: 570 2nd STRE ET
City: MEEKER
State: ('OI ORAO(l Zip Code: J4'I~d'I
Telephone Numbe r: ( 97n ) - R7R_S(n'I
Fax Number: ( 970 ) - 878-3396
PERMITTING CONTACT (if different from applicant/operator above)
Contact•e Name: .LAMES W l0Y Title:, nuINFP
Company Name: SOY SIRVFYTN [' COMPANY
Street: 6^6 MATN STR EET P n RnX 1'I 5~
City: MEEKER
state: COLORADO zip code: 81641
Telephone Numbe r: ( 97~ 1 - ~~a s~o9
Fax Number: 1 970 ) - 87R-3670
INSPECTION CONTACT
Contact's Name: SAME AS APPI Tf'ANT/nPFRATnR Title:
Company Name:
Street:
City:
State: Zip Code:
Telephone Number: ( > - _
Fax Number: ( ) - _
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State:
Telephone Number: ( ) - _
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
city:
State:
Zip Code:
Zip Code:
Telephone Number: