2004-06-08_REVISION - M2003021

• Permit No: M2003021
• IBM Index Class Name: Revision
• Doc Date: 6/8/2004
• Doc Name: Amendment Application
• From: Ranch Land LLC
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
Company Name:
Street:
City.
State:
BIilliam PPPF.9 Title: Mana~Pr
Ranch Land LLC
3925 Hill Circle
Colorado Springs
Colorado
zip code: 80904
Telephone Number: ( 719 )- 492-0266
Fax Number: ( 719 )- 473-5494
PERMITTING CONTACT (if different from applicandoperator above)
Contact's Name: Angela Bellantoni Title: President
Company Name: Environmental Alternatives, Inc.
Street; 113 Latino Lane #D-324
City. Canon City
State: Colorado zip Code: 81212
Telephone Number: ( 719 ) - 275- 89 51
Fax Number: ( 719 )- 269-9933
INSPECTION CONTACT
Contact's Name: An~e1a Bellantoni Title: President
Company Name: Environmental Alternatives. Inc.
Street: 113 Latino Lane #D-324
City. Canon Ci v
State: Cot o tad o Zip Code: 81212
Telephone Number: ( 719 ) - 27 5- 89 51
Fax Number:
Agency.
Street.
City.
State:
( 719 )- 26A-9933 CC::
Zip Code:
Telephone Number: ( ) -
CC' STATE OR FEDERAL LANDOWNER (if anv)
Agency.
Street:
City.
State: _
Telephone Number:
Code: