PERMFILE116467

• Permit No: M1995030
• IBM Index Class Name: Permit File
• Doc Date: 4/25/1995
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-2-
9. Correspondence Information:
APPLICANT/OPERA70R (name, address, and phone of name to be used on permit)
Individual's Name: Jim F. Green
Company Name: Green Bros., Inc.
Street: F.O. Bcuc 856/19L41 Us Hwv 31.
City: Fort Morgan
State: Colorado Zip Code: 80701
Area Code: 303 Telephone: [phone] F•~x ~~~"74Cj
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:
City:
State:
Area Code:
Telephone:
Jesse H. Green
Zip Code:
Green Bros., Inc.
F.O. Box 858/19441 US HiJY 34
Fort Morgan
Colorado Zip Code: 80701
303 Telephone: [phone]
CC: STATE OR FEDERAL LANDOWNER (tf any)
Agency:
Street:
City:
State:
Area Code:
Zip Code:
Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Area Code: Telephone: