1993-07-14_REVISION - M1981057

• Permit No: M1981057
• IBM Index Class Name: Revision
• Doc Date: 7/14/1993
• Doc Name: APPLICATION
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual ' s Name: " r 3 in,1 S J
Company Name: Ar1k1 ;jc PgklI' SGbhe bhpDYa CI D �1
Street: C9 1S /Vo C., 2r7
City: looelahj
State: Colo rado Zip Code: 86S 38
Area Code: 303 Telephone: (o(03— ) `]ad
PERMITTING CONTACT (if different from applicant/operator above)
Individual ' s Name: Sam e
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT
Individual 's Name: S Q n7
Company Name:
Street:
City:
State : Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)_ .
Agency:
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: fy�
Street:
City:
State: Zip Code:
Area Code: Telephone: