PERMFILE138912

• Permit No: M2006059
• IBM Index Class Name: Permit File
• Doc Date: 7/21/2006
• Doc Name: 110c application
• From: Continental Divide Ranch LLC
• To: DMG
• Media Type: D
• Archive: No

-2-
11. Correspondence Information: //~~ ~/
y-lP~M{
~ ~~'~
/C
~
APPLICANT/OPERATOpR (name, address, and phone of name [o be used on permit) eti
3 /
~
/
..(
~iu
s 1
on1 Til.~l/~/i0
Contact's Name: M1 7~
P
^~' onr~h'7rlk
Title:
.(~
rr
Company Name: lAh'~.pt..~'1) lJIVtl1 ^hM1~~ LLL ~n'~1°r
b
StreeUP.O.Box: ?3 L ~k i/~ ~}'/ - P.O.Box:
City: ~/~y~h0 ~~
State: ~-~ Zip Code: ~~ 3C
~
~ ~~'~ Z s
7
Telephone Number: (
1
0
) -
r
r
Fax Number: ( 7~~ 1- 3~Z~OG3y

PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: ,SkYhl, Title:

Company Name:

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

State: Zip Code:
Telephone Number: ( ) -

Fax Number: ( ] -

INSPECTION CONTACT
Contact's Name: sG /ht. Title:

Company Name:

StreeUP.O.Box: P.O.Box:
City:

State: Zip Code:
Telephone Number: ( ] -

Fax Number. ( 1-
Agency:
Stree[:
City:
State:
Telephone Number:
Agency:
Sheet:
City:
State:
Telephone Number:
Zip Code:
h
Zip Code:
3-