REV98312

• Permit No: M1991136
• IBM Index Class Name: Revision
• Doc Date: 2/17/1994
• Doc Name: REGULAR RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name:
Company Ndme: United Companies of Mesa County, Inc.
Street: P. o. aox 3609
City: Grand Junction
State: colorado Zip Code: 81502
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name
Company Name:
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name
Company Name:
Street:
c;ty:
State:
Area Code:
Paul McGehee
United Companies of Mesa County. Inc.
P. 0. Box 3609
Grand Junction
Colorado Zip Code: 81502
303 Telephone: 24"~-4900
Paul Mr_Gheee
United Companies of Mesa County Inc.
P. 0. Box 3609
Grand Junction
colorado Zip Code: 81502
303 Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Area Code: Telephone:
Zip Code:
Zip Code: