REV07309

• Permit No: M1977393
• IBM Index Class Name: Revision
• Doc Date: 6/20/1995
• Doc Name: REGULAR OPERATION RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM2
• Media Type: D
• Archive: No

-a-
10. Correspondence Information:
APPLICANT/OPHRATOR (name, address, and phone of name to be used on permit)
Individual's Name: Christopher L. Varra
Company Name: Varra Companies, Inc.
Street: 2130 S. 96th Stree
City: Broomfield
State: Colorado Zip Code: 80020
Area Code: (303) Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
individual's Name: Same as above.
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
Same as above.
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if an
Telephone:
Agency: NonP_
Street:
City:
State:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if an
Agency: None.
Street:
City:
State:
Area Code:
Zip Code:
Telephone:
Zip Code: