2007-07-25_REVISION - M1982112

• Permit No: M1982112
• IBM Index Class Name: Revision
• Doc Date: 7/25/2007
• Doc Name: Completeness Documents & Revised Maps
• From: Southwestern Ecological Services
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-3-
1 I. Correspondence Information:
APPLICA'VT/OPERATOR (name, address, and phone of name to be used on permit}
Contact's Name: Rick Hunt Tiilc; Owner
Company Name: Hunt Investment Company

StreeUP.O. Box: 43160 CR 17-21 P.O. Box:
City: Elizabeth

State: CO Zip Code: 80107
Telephone Number: ( 303 ) - 841-3970
Fax Number: (_ 303 ) _ 646-9233

PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: MarkHeifner Title: Ecologist
Company Name: Southwestern Ecological Services

StreeUP.O. Box: 37 East Colorado Avenue P.O. Box:
City: uenver
Slate: CO 'Lip Code: 80210-3105
Telephone Number: L 303 ) - 722-9067
Fax Number: ( 1-866 ~ - 820-1556 (toll free)
INSPECTION CONTACT
Contact's Name: Rick Hunt Title: Owner
Company Name: Hunt Investment Company
StreeUP.O. Box: 43160 CR 17-21 P.O. Box:
City: Elizabeth
State: CO
Telephone Number: j 303 ) _ 841.3970
Fax Number. ( 303 )_ 646-9233
CC: STA'CF.ORFF,'DERALLANDOWNER{ifanyi
Agency: NONE
Street:
City: _
State:
Telephone Number: { } _ __
CC: S'fA"fF, OR FEDERAL LANDOWNIiR (if env)
Agency: NONE
Street:
City: _
Stale:
Z.ip Code: 80107
Zip Code:
'Lip Code:
Telephone Number: ( ___}