PERMFILE124310

• Permit No: M2007034
• IBM Index Class Name: Permit File
• Doc Date: 6/11/2007
• Doc Name: New Appl
• From: S & S Services
• To: DRMS
• Media Type: D
• Archive: No

_2.
6. CorresvovdenceInforma8ov:
APPLICANT(OPERATOR (game, address, and phone of Heine to be used on permit)
Contact'sNatne: Richard S. Lopez Title:Owner
Company Name: S & S Services

Street/P.O.Box: 19901 State Hwy. 12 P.O.Box:
City: Weston,

5~~: Colorado Zip Code: 81091
Telephone Number. ( 719 ) _ 8 6 8 - 3 3 07
Fax Number: ( 719 ~_ 868-3004

PERMITTING CONTACT (if different from applicanUoperatorebove)
Contact's Name: Ronald G. Thompson Title: Member
Company Name: Peak Project Management, LLC

StreeUP.O. Box: 34115 County Road 20.8 P.O. Box:
City: Trinidad

Smte: Colorado Zip Code: 81082
Telephone Number: ( 719 )_ 846-4975
Fax Number: { 719 )_ 846-4930

INSPECTION CONTACT
Richard S. Lopez
Contact's Name: Title:

Company Name:

S1reeUP.O. Box: P.O. Box:
City:
State:
Telephone Number: ( 1- _
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street
City:
State:
Telephone Number. ( ) -
CC: STATE OR FEDERAL LANDOWNER (if env)
Agency:
Street:
Ci[y:
State:
Telephone Number. ( ) -
Zip Code:
7..ip Cade:
Zip Code: