2007-11-28_PERMIT FILE - M2007067 ‎(2)‎

• Permit No: M2007067
• IBM Index Class Name: PERMIT FILE
• Doc Date: 11/28/2007
• Doc Name: 110C Application
• From: Marathon Oil Company
• To: DRMS
• Media Type: D
• Archive: No

-2-
11. Corresnandence .Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on peim.it}
Contact's Name: T.~n Vot ~ ~~/ fit. VVl ~'~iw~~_ Title: S~S~,,..;w-~,,.J~.~~-
Company Name:
StreetlP.O. Box:
7~ 3 Rb~lh2e.ti ~- ST! Z2~
City: lr cya,ns~o~
State: ~' ~ W Y _ lip Code: _ l SO 6 '7 ~! 0S6
Telephone Number: ?O - 2,yS-S2 3 3 (307) 679 - $OOS
Fax Number: ~,...._ ) - ____
PERi~IITi'ING CON"PACT (iFdifferent from applicanytl~operatonr above)
Contact's Name: ~~aN.~.w. 1J~-'~'~``'~ ~~++ Title: P_~e~e,'~ Se.aw.~~a~
CorupanyName: ~r~~~l:.,.a.,. ~'"--A~.ow•ce Us~rr~c~s ~ T'^~
Street/P.O. Box: ~2fo 2( t~2 ~~ ___._._ P.O. Box:
city: G,~,,,,~ 5u~.,~-~~~ -
State: C O ~.7,ip Code: g ~ SO S
Telephone bTumber: { ~l ?O ) - 2~ 3 - ~O O
Fax Number: { 9 ? 0 ) - 2~ 3 - 7YS 6
INSPECTION CONTACT
...._._._
..^µ~
SQ....~ as p~,rw~.~ ~ e~
Contact's Name:
~ ^ ~~ "title:
Company blame:
StreetlP.O. Box: P.O. Box:
City:
State: -._~. ~__ lip Code: -.`______~
Telephone Number: ( ) -
Fax Number: ~ ) -
CC: STATE OR .FEDkRAI. LANDOVvNER {if anv)
Agency:
.__._.__....N_...!~ _._...__.._._.__.____.__._...._._._._..__........
~.__.__._.__.___________________..____~...____.__
S#reet:
City:
State: lip Code:
'I'elephon:e Number: ~--.~.-__._._.._.) ' --......_._ ....__._.
CXM;_S:I~A,~tI OR Fk;Df.ItAL LANI}UyV'vER. (i.f anv)
Agency: _____~~ ----------
Street: __ ---------
Ci.ty: __~________~_._.__.
State: __.....___.._.._-__........._._...~......~_.__.._._.~.__.._._____..__... .__.__.__.____ 'lip CodL: ___.-----------._---.-
'I'elephorie Number: (, _____.._..___._} - .______........__._.._...__._.__.__.