PERMFILE104484

• Permit No: M1991078
• IBM Index Class Name: Permit File
• Doc Date: 7/1/1991
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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-2- ~ 9
9. Correspondence Information:
APPLICAIJT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name:
Company Name: Klowa couNTY
$tl^eet: Box 591
City: EARS, CO 81036
State: Zip Code: ~ D ~~
Area Code: 719 Telephone: 43B-Saco
PERMITT:[NG CONTACT (if different from applicant/operator above)
Individual's Name:
COnlpdny Name: KIOWA COUNTY
Street: Box 591
Ci'Cy: EADS, CO 81036
State: Zip Code:
Area Code; n 9 Telephone: 438-s81o
INSPECT:fON CONTACT
Individual's Name:
Company Name:
Street:
C iiy:
State:
Arc>a Code:
SAME
Zip Code:
Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agc~ncy: NA
Street:
Ci1:y:
Stirte: Zip Code:
Area Code: Telephone:
CC: ST11TE OR FEDERAL LANDOWNER (if any)
Agency: „~
Street:
C i i:y:
State: Zip Code:
Area Code: Telephone: