REV100975

• Permit No: M1981286
• IBM Index Class Name: Revision
• Doc Date: 10/8/1991
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANTlOPERATOR (name, address, and phone of name to be used on permit)
Individual's Ndme: Kenneth Schraeder - Supervisor
Company Ndme: Weld County - Mining Division
Street: P.O. Box 758
City: Greeley
State: Colorado Zip Code: 80632
Area Code: 303 Telephone: [phone], Ext. 4750
PERMITTING CONTACT (if different from applicant/operator above)
IndlvldOdl'S Ndme' Donald Carroll - Administrative ManaF
Company Name:
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name
Company Name
Street:
City:
State:
Area Code:
Weld County - Engineering Department
P.O. Box 758
Greeley
Colorado Zip Code: 80632
303 Telephone: [phone], Ext. 4
Kenneth Schraeder - Supervisor
Weld County - Mining Division
P.O. Box 758
Greeley
Colorado Zip Code: 80632
303 Telephone: [phone], Ext. 4750
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if anv>
Agency:
Street:
City:
State:
Zip Code:
Area Code: Telephone: