2005-01-13_REVISION - M1981022 ‎(3)‎

• Permit No: M1981022
• IBM Index Class Name: Revision
• Doc Date: 1/13/2005
• Doc Name: Amenment Application Package
• From: Connell Resources Inc
• To: DMG
• Type & Sequence: AM2
• Media Type: D
• Archive: No

3-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) Vice President -
Contact'sName: Will Welch Title: Construction Manager
Company Name: Connell Resources Inc
Street/P.O. Sox: 4305 East Harmonv Raad P.O. Hox:
City: Fort Collins
State: Colorado Zip Code; 80528
Telephone Number. (970 ) _ 223-3151
Fax Number: (970 I- 223-3191
PERMITTING CONTACT (if different from applicanUoperatorabpve)
Contact's Name: William R~hgnderl ein Title: Proi~ect Fnc~neer
Company Name: ~,nl egate Groit.R, Inc. _ _ _ _
Street/P.O.Box: 1499 West 120th Avenue, Suite 200 p.O.Box:
City: Denver
State: Colorado Zip Code: 80234
Telephone Number: f 303 )- 452-6611
Fax Number: (303 }- 452-2759
Vice President -
Contact'sName: Will Welch ~ Title: Construction Manager
Company Name: Connell Resources, Inc.

Streef/P.O. Box: 4305 East Harmony Road P.O. Box:
City: Fort Collins

State: Colorado Zip Code: 80528
Telephone Number: f 970 )- 223-3151
Fax Number: (970 )- 223-3191
CC: STATE OR FEDERA L LANDO WNER (if anyJ

Agency:

Street:

City:

Slate: Zip Code:

Telephone Number: ( ~ -

CC: STATE OR FEDERAL LANDOWNER (if anyl
Agency:

Street:

City:

State: Zip Code:
Teleptone Number: ~ ( ) -