REV98158

• Permit No: C1981012
• IBM Index Class Name: Revision
• Doc Date: 3/11/1997
• Doc Name: APPLICATION FORM FOR A PERMIT TO CONDUCT COAL MINING IN COLO
• Type & Sequence: SO2
• Media Type: D
• Archive: No

3
12. Correspondence Information
APPLICANT/OPERATOR
Individual's Name:
Company Name:
Street:
City:
State/Zip:
Telephone:
PERMITTING CONTACT
Individual's Name:
Company Name:
Street:
City:
State/Zip:
Telephone:
INSPECTION CONTACT
Individual's Name:
(Name, Address and Phone of Name to be used on Permit
P1 Perrv
Pic'r,et~.aire Processing, LLC
'311 5ent~~rccd Grive
Evar._ville
Ir.diara, 47711
1~~ ~ 1 aec_~ ;~ v
Ilf different from Applicant/Operator above)
Jerry Kc;blitz
Gre~i s tore
59;G Greer.kccd Flaza Elvd, Suite 25G
~~cloradc, 8Ci11
Ilf different from ApplicantlOperator abovel
Jerry Kcc~ltiz
Company Name: Grey:stone
Street: 599G Greer,kcod Plaza Elvd., Suite 250
City: Eng 1 ek ood
State/Zip:
Telephone: [phone].i 0
PARENT CORPORATION (if any)
Company Name: F •P• IIaM^~11 DeveloFmert Ccmpary, LIC/ Taiheyo, (U9A, Inc
Street: 1311 Bentwood Drive / 3803 S. Elm Strc-et
City: ~varsville / Denver
State/Zip: Indiana, 47711 / Colorado, 8C~?"
Telephone: (°=2 1 4~5-1717
RESIDENT AGENT (Rule 2.03.4(111f11
Individual's Name: i~r. Robert 6a_sEt.t
Company Name: Gorsey 8. Srhicnev, L.L.P.
Street: ReFublic Plaza Bldc., Suite 44C0, 37G Severteer.th street
City: nPr. VP t'
State/Zip: Colorado, 8C~C12-644
Telephone: [phone]'15