2005-02-04_PERMIT FILE - M2005003

• Permit No: M2005003
• IBM Index Class Name: Permit File
• Doc Date: 2/4/2005
• Doc Name: 112c New Appl
• From: Van Valkenburg Cattle Company LLC
• To: DMG
• Media Type: D
• Archive: No

-3-
14. Correcmndertce Information:
APPLICANT/OPIItATOR (tiatre, address, and phone of t4vne to be used on pemut)
Contact's Name: William Van Valkenbure Title: Owner
Cotrq~atty Name: Van Valkenburn Catttle Comoanv. LLC

StreeUP.O. Box: 12353 Hwy 14 P.O.13ox:
City: Walden

State: Colorado Zip Code: 80480
Telephone Number. ( 970 )-723-4346

FaxNmtiber. ( 970 )-723-4346

PERMITTING CONTACT (if different from applicatrt/operator above)
Contact's Name: Title:

Co~igmny Name:

Street/P.O. Box: P.O. Iiox
City:

State: Zip Code:
Telephone N~uti~er: L ) -

Fax Number. ( ) -

INSPICTION CONTACT'
Contact's Name: Title:

Compatry Name:
.
Street/P.O. Box: P.O. Box:
City:

State: Zip Code:
Telephone Nimiber C ) -

Fax NuntSer. ( ) -
CC: STATE OR I'EDERAL LANDOWNER (if anX)__
Agency:

Street:
City:

State: Zip Code:
Telephone Number. ( ) -

CC: STA1E OR I'EDII2AL LANDOWNER (if airy)
Agency:

Sttet:

City:

State: Zip Code:
Telephone Number. ( ) -