2003-06-27_REVISION - M1998052

• Permit No: M1998052
• IBM Index Class Name: Revision
• Doc Date: 6/27/2003
• Doc Name: Permit Application
• From: Rock Island Land Co. LLC
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-3-
~14. CorrespondenceInfotvsafioa:
APPLICANT/OPERATOR (name, address, and phone of name to be used on petmit)
ContacYsName: Sam McCleneghan Title: Manager
company Name: Rock Island Land Co., LLC
Street/P.O.Box: P.0. Box 1012 P.O.Box:
C;n.; Breckenridge
State: CO Zip Code: 80424
Telephone Number: ( 9 70 1-
FaxNumber: ( 970 ~_
CantacYs Name:
Company Name:
Street/P.O. Box:
city:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contacts Name
Company Name:
Street/P.O. Box:
City:
State:
453-6360
453-6395
(if different from applicant/operator above)
Larry F. Brown
L. F. Brown & Assoc. Inc.
3473 D 3/4 Road P.O.Box:
Palisade
President
CO
( 970 ~- 464-1171
( 970 ~_ 464-1181
Sam McCleneghan Title:
same d5 applicant/operator
.O. Box:
Telephone Number: ( 1 -
Fax Number: ( ) -
CC: STATE ORFEDERAL LANDOWNER (if anv)
Agency: n/d
Street:
City:
State:
Telephone Number: ( 1-
Zip ~: 81526
Zip Code:
Zip Code:
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: n/a
Street
Ciry:
State: Zip Code:
Telephone Number: ( 1-