PERMFILE108491

• Permit No: M1992049
• IBM Index Class Name: Permit File
• Doc Date: 4/20/1992
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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9. Correspondence Information:
APPLICANT/OPERATOR Cname, address, and phone of name to be used on permit)
Individual's Name: Nick Peck
Company Name: Peck, Inc.
P.O. Box 278
Street:
City: 04ray
State: C^• Zip Code: 81427
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Ndme: Charles R, Ponchak
Company Name:
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
27 North Cascade
Montrose
Colorado
303 Telephone
Zip Code
249-4434
Charles R. Ponchak
Telephone:
CC: STATE OR FEDERAL LANDOWNER (if an v)
Agency:
Street: NA
City:
State:
Area Code: Telephone:
Zip Code:
Zip Code:
81401
CC: STATE OR FEDERAL LANDCWNER (if any)
Agency:
Street:
City:
State:
Area Code: Telephone:
Zip Code: