PERMFILE131237

• Permit No: M1994006
• IBM Index Class Name: Permit File
• Doc Date: 2/4/1994
• Doc Name: RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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9. Correspondence Information :
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: F-0. Peter Schrepfer
Company Name: ti/A
Street: P.0. Box 1051
City: Trinidad,
State: Colorado Zip Code: 81082
Area Code: 719 Telephone: [phone]

PERMITTING CONTACT <tf different from applicant/operator above)
Individual's Name: Dennis Kirtland
Company Name: Corn Construction Co.
Street: P.0. Box 1240
City: Grand Junction
State: Colorado Zip Code: 81502
Area Code: 303 Telephone: [phone]

INSPECTION CONTACT
• Individual's Name: F1. Peter Schrepfer (Same as above)
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:

CC: STATE OR FEDERAL LANDOWNER (if anv>
Agency: ~~/A
Street:
City:

State: Zip Code:

Area Code: Telephone:

CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: Il/A
Street:
• City:

State: Zip Code:
Area Code: Telephone: