PERMFILE138840

• Permit No: M1998052
• IBM Index Class Name: Permit File
• Doc Date: 6/12/1998
• Doc Name: APPLICATION FORM
• Media Type: D
• Archive: No

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APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
' Contact's Name: Sam McCleneghan Title: Manager
Company Name: Rock Island Land Co., LLC
Street: P.0. Box 1012
' City: Breckenridge
State: CO Zip Code: 80424
Telephone Number: ( 970 ) - 453-6360
Fax Number: ( 970 ) _ 453-6395
' PERMITTING CONTACT (if different from applicant/operator above)
individual's Name: Larrv F. Brown Title: President
Company Name: L.F. Brown & Assoc. Inc.
' Street: P.0. Box 698
City: Idaho Springs
' state: CO Zip code: 80452
Telephone Number: ( 303 ) - 674-9813
' Fax Number: ( 303 ) _ 567-9306
INSPECTION CONTACT
Individual's Name: Sam McCleneghan
' Company Name: Same as applicant/operator
Street:
' City:
State: Zip Code:
' Telephone Number: ( ) -
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if anv)
' Agency: N/A
Street:
' City:
State: Zip Code:
' Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: N/A
' Street:
City:
' State: Zip Code:
Telephone Number: ( ) -