PERMFILE70423

• Permit No: M2006008
• IBM Index Class Name: Permit File
• Doc Date: 1/19/2006
• Doc Name: Application Package
• From: Russell Ranche General Partnership
• To: DMG
• Media Type: D
• Archive: No

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14. Corresmndence Information:
AP~'LICANT/OPERATOR (name, address, and phone of name to be aced on permit)
ContacYsName: Ben Rogers Tim;
Company Name: Russell Ranch General Partnership
Street/P.O.Box: 1240 Rio Blanco County Road 8 p,O.~x; 597
City: Meeker
State: Colorado ~p Code: 81641
TelephoneNamber. ( 970 ~_ 878-4810
Fax Number: ( ~-
PIItMITTING CONTACT (if different from applicantloperator abosre)
ConiacisName: Same as above
Company Name:
Street/P.O. Box:
City:
State:
Telepha~ne Number: (_ ) -
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name:
Company Name
Title:
Street/P.O. Box: P.O. Box:
City:
State: Zip Cade:
Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATEORFIDERALLANDOWNER(ifam)
Agency:
Street:
City:
State: Zip Code:
Telephone Nnmber. l ) -
CC: STATE OR FIDERAL LANDOWNER (if anv)
Agency:
Street:
Ciry:
State: Zip Code:
Telephone Number: ( ,~ -
P.O. Box:
Zip Code: