1993-02-02_REVISION - M1980149

• Permit No: M1980149
• IBM Index Class Name: Revision
• Doc Date: 2/2/1993
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM2
• Media Type: D
• Archive: No

-z-
9. Correspondence Information:
APPLICANT/OPERATOR (name, address , and phone of name to be u#'es[,o permit)
Individual 's Name: Kepnerh gchraeder
Company Name: Weld County, Colorado
Street: 915 loth Street
City: Greeley
State: Colorado Zip Code: 80631
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual ' s Name: Donald Carr-IT
Company Name: Weld County, Colorado
Street: 915 10th Street
City: Greeley
State: Colorado Zip Code: 80631
Area Code: 303 Telephone: [phone]
INSPECTION CONTACT
Individual ' s Name:
Company Name: same as applicant/operator
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: n/a
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: n/a
Street:
City:
State: Zip Code:
Area Code: Telephone:
ORIGINAL