2007-06-28_REVISION - M1982112 ‎(2)‎

• Permit No: M1982112
• IBM Index Class Name: REVISION
• Doc Date: 6/28/2007
• Doc Name: Incomplete AM01 Package
• From: DRMS
• To: Southwestern Ecological Services
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-3-
t L Correspondence Information:
APPLICANT/OPERATOR (game, address, and phone of name to be used on permit)
Contact's Name: Rick Hunt wner
Title: O
Company Name: rrII~
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Street/P.O. Box:
43160 CR 17-21 ~
P.O. Box:
City: Elizabeth
State: CO Zip Code: 80107

Telephone Number: ( 303 ) - 841-3970

Fax Number: ( 303 ) - 646-9233
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Nante: Mark Heffner Title: Ecologist
Company Name: Southwestern Ecological Services

Street/P.O. Box: 37 East Colorado Avenue P.O. Box:
Ciry: Denver
State: CO Zip Code: 80210-3105

Telephone Number: ( 303 1- 722-9067
Fax Number: ( 1-866 1- 820-15561to11 free)
INSPECTION CONTACT
Contact's Name: Rick Hunt Title: Owner
Company Name: Hunt Imestm *~~_-
Street/P.O. Box: 43160 CR 17-21 P.O. Box:
City: Elizabeth
State: CO Z.ip Code: 80107
_
Telephone Number: ( 303 ) _ 841.3970
Fax Number. [ 303 ) _ 646-9233
CC: STATF, OR FEDERAL LANDOWNER (if any]
Agency: NONE
Street:
City: ----- ~~_~ ~--
State: ____ Zip Code:
___ __,
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Telephone Number: ( ) - -__
CC': S'fA"fE OR FEDERAL LANDOWNIR (if any]
Agency: NONE
Street:
City: __ - -----
State: _--
_ 7_ip Code:
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-- _ _-_-.--
'I'elephone Number: f 1- ____ _