2006-09-13_REVISION - M1983102

• Permit No: M1983102
• IBM Index Class Name: Revision
• Doc Date: 9/13/2006
• Doc Name: 112c Amendment 02 Application
• From: Thompson Properties
• To: DRMS
• Type & Sequence: AM2
• Media Type: D
• Archive: No

3-
11. Correaoondettce Informatlon:
APPLICANT/OPERATOR ([tame, address, and phone of Dame [o be teed an permit)
Contact's Name: Lam Thomnson Title: Partner
Company Name: Thompson ertt~c __
StreedP.O. Hox: P.U. Box: 3
City: Granby

state: Colorado Zip Code: 80446
Telephone Number: L970 ) - 877-3710
Fax Number. { 970 ~ _ 887-2428
yIITTINO CONTACT (if different 6om epplic®t/opetatorerbove)
Contact's Name: Steve O'Brian Titlc: President
Company Name: Environment. Inc

StreeUP.o. Box: 7985 Vance Dr.. #205A P.O. Box:
city: Arvada

State: C'O Zip Code: 80003
Telephom Number
Fax Nttmber:
INSPECTION CONTACT
Contact's Name:
Company Name:
S[reetlP.O. Boa:
City:
State:
Telephone Ntnnber.
Fax Number:
[403 1- 494-7197
(303 )- 493-7599
Lam ThOmp30n Title: Partner
Thompson Properties
P.O. Box:
Zip Code: 80446
( 970 ~-1i87-3710
t 970 1-~87-2428
CC' STATE OR FEDERAL LANDOWNER (if em)
Agency:
Strcet:
City:
Slate:
Telephone Ntmber. ( 1- -
CC STATE OR FEDERAL LANDOWNER (if aml
Agency:
Street: _.
City:
State:
Telepho~ Number:
Code:
Z.ip Code: