2004-08-05_REVISION - M1978116

• Permit No: M1978116
• IBM Index Class Name: Revision
• Doc Date: 8/5/2004
• Doc Name: Amendment Appl.
• From: Cotter Corporation
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

RECEIVED
z
Correspondence Information:
AUG D 51004
Division of Minerals and Geolapy
APPLICANT/OPERATOR (tutme, address, and phone of dame to be used on permit)
Individual's Name: Glen Williams T;~; Manager, West Slone Oner.
Company Name: Cotter Corporation
Skeet/P.O.Box: 28151 DD Rodd P.O.Boz: 700
City: Nucl a
Stagy; Col orddo zip Code: 81424
Area Code: ( 970 1 Telephone: [phone]
Fax Number. { 970 1 Telephone: [phone]
TTING CONTACT (if different tiom applicant/operator above)
Individual's Name: Dj~k White Title: Proiect Ceo7ooist
Company Name: SAME
Stree1/P.O. Box:
City:
State: Zip Code:
Area Code: ( ~ Telephone
Fax Number: { ~ Telephone:
]TION CONTACT
Individual's Name: Glen William s or Di k Whites Title:
Company Name: SAME
StreetlP.O. Box:
City:
State: Zip Code:
Area Code: ( ) Telephone:
Fax Number. ( ) Telephone:
CC: STATE OR FEDERAL LANDOWNER (ifanvl
Agency: U. S. DenartmPnt of FnPr~yy
Strcet: 2597 B 3/4 Road
City; Grand Junction
State: Colorado Zip Code: 81503
Area Code: ( 970 1 Telephone: 248-F~00
CC: STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State:
Zip Code:
Ares Code: