2002-09-18_REVISION - M2001085 ‎(2)‎

• Permit No: M2001085
• IBM Index Class Name: Revision
• Doc Date: 9/18/2002
• Doc Name: Incomplete Notice for Amendment Application Package
• From: DMG
• To: Adams County RV Park LLC dba 124th Estates Partners
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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14. Corresooedence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) y~ /
Contact's Name: ~yC Ste'"/~e~a''t`~ Title: /%G~De~"
Company Name: /.~'/~ Es~a-/es Pa.-five~-S , .LL.G
Street: /~° X04., lnrc 5'55'5 Fas~.~0~ 9ve.~,rte - --
City. C-°'yn~"e'z~° C'-~ ~
State: ~oLora.~o Zip Code: $~~2
Telephone Number: ( 3D3 ) _ 'C $7 - ~'a 272 /
Fax Number: (303 ) - 2 ~7- 3/53
PERMITTING CONTACT (if different from applicandoperator above) ~~I
Contact'sNatne: LeS Etnre~.e.~ _ Title: ~''b/ec~ /"lanQq~r
V
Company Name:
Street.
City:
State:
L
~o ~a_coa .L.n~c.~ y55'S Fas'f (a0~'' ~ve.,ue
C._ U~!> rc~ ~ Zip Code: $OO ZZ
Telephone Number: ( 3 0 3 ) - 2 87 - $3310 R7:t /
Fax Number: (,3 0 3 - ) _ .2 87 - 3 / S .3
INSPECTION CONTACT
ContacfsNatne: LC$ .~Wej e.-, _ Title: ~~~' ~~ ecf ~a......cLv-
Company Name:
E
LG
Sn.~; C~ /~~coez 2iuc YS`/5 ~`a-st" 6O~'T' }venue
City. l.o~i~vnerce Ci~'~s
State: ~ ~ r a. 0~0 Zip Code: $O o ZZ
Telephone Number: 03 _ 02$7'$ 27a2/
Fax Number: (.303 )- .~-fi~"c3~ 53 CC: ;
Agency.
Street.
City.
State: _
Telephone Number:
Zip Code:
CC' STATE OR FEDERAL LANDOWNER (if anv)
Agency.
Street'
City.
State:
Zip Code:
Telephone Number: ( ) -