2008-08-15_REVISION - M2006084

• Permit No: M2006084
• IBM Index Class Name: REVISION
• Doc Date: 8/15/2008
• Doc Name: Amendment applicaton
• From: Connell Resources Corporation
• To: DRMS
• Type & Sequence: AM1
• Email Name: SSS
• Media Type: D
• Archive: No

-3-
11. Corfesoondence Information:
APPUCANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: kk ha rd C 6 n n-e `I
Title: IDYe'5I j --0- n T
Company Name: c,ann-e 1z eyes,ovMe es , :-tiLG ,
r?
Street/P.0. Box: 77 9-5- /T/y?i/ri n? t doors P'ew y'Od P.O. Box:
City: F-P ,- T c v M nS -
statc: G 0/0 ad e) Zip Code: ?4 5Z 8
Telephone Number: Q 7P - _ Z Z3 X315!
Fax Number: ( 2719 - Z - d?
PERMITTING CONTACT (if different from applicarWoperator above) Contact's Name: Se r7 L4 /s gen 1 / A Title: Pre, ee Z 17q 1 n ee r-
Company Name: G r J L e wl ie e l t A, S o e-l q T-e5
StmettP.O. Box: !/ S/ dfJ? Y r t q La CL P.O. Bost:
City: Al r r
Stale: !!OLD v l?,?? zip Code: EDL3 6!
Telephone Number. ( 7Z D - Z- 5 3 2
Fax Number: ( 303 ) - 3 tdlo' k g3T
INSPECTION CONTACT
Contact's Name:
Company Name:
Strezo.O. Box:
City: -
State:
Telephone Number.
Fax Number
z of y ry JD /LYmon Title: Grua, * &enr
C:®_rl)jz )Qe60vv-cc-''_ 'hc MOA"eY-
AJP®0 P.O. Box:
Fo rT Go?l?n5
? 1 v q? d Zip Code:
D
f
-9 7-P 91
CC: STATE OR FEDERAL LANDOWNER_(ifany)
Agency:
Street
City:
State:
Telephone Number: ) -
CC?STTE OR FEDERAL LANDQWNER ifam)
Zip Code:
Agency:
Street:
City: ---- - --- -
State: Zip Code:
Tclephonc Number: (_ l -