PERMFILE128504

• Permit No: M1991147
• IBM Index Class Name: Permit File
• Doc Date: 3/25/1992
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICAITON FORM
• Media Type: D
• Archive: No

-2-
9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: JACK G. QUINN (DBA)
Company Name: S.T.CI2+IE ~n,.~.
Street: ¢ 620 W_ HENRTETTA AVF. (BOX 1551
City: WOODLAND PARK
Stdte: COLORADO Zip Code: An866
Area Code: pia Telephone: 6A7-FRF~
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Ndme: SAME AS ABOVE
Company Name:
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
Telephone:
Zip Code:
Zip Code:
Telephone:
CC: STATE OR FEDERAL LANDOWNER (if anv>
Agency: N;A
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if an
Agency: N/A
Street:
City:
State:
Area Code: Telephone:
Zip Code: