2007-06-28_REVISION - M1982112

• Permit No: M1982112
• IBM Index Class Name: Revision
• Doc Date: 6/28/2007
• Doc Name: Incomplete Amendment Package
• From: DRMS
• To: Southwestern Ecological Services
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-).
11. Cortesoondenee Information:
p~PLICANTlOPERATOR (name, address, and phone of name to be used on petmi[)
Conmct's Name: R(ck Hunt Title: ~+'~
Company Name: ~~" Ht~Q~'~P.tA7f" ~~
StreeUP.O. Box: 43160 CR 17-21 P.O. Box:
City: Elizabeth
Smte: CO Zip Code: 80107
Telephone Number. ( 303 1- 8413970
Fax Number: ( 303 1- 846-9233
PERMITTING CONTACT (if diHeren[ from applicant/opemtor above)
ConmcfaName: MarkHelfner Title: Ecologist
Company Name: Southvreatem Ecological Services
StreeUP.O. Box: 37 East Colorado Avenue P.O. Box:
City: Denver
Smte: CO Zip Code: 80210-3105
Telephone Number: ( 303 1- 722-9067
Fax Number: ( 1$66 1- 620-15581to11 free)
ContaM's Namc: RICK Munt Title: owner

Company Name:

StreeUP.O. Box: 43160 CR 17.21 p.0, gam;
City; Elizabeth
Smte: CO Zip Code: 80707
Telephone Number. ( 303 ) _ 841.3970
Fax Number. ( 303 )_ 648.9233
CC: STATE ORFF.DERA~ LANDOWNER(ifatq]
Agrncy: NONE

Street:
City:
_~
Slate: `_ Zip Code:
__
Telephone Number. ( ) -

t"G: S"FATE OR FEDERAL LANDOWNER (if any)
Agency: NONE

Street:
City: __

Smte: Zip Code:

T'elephonc Number: ( 1 • __ __ _~