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t <br />1 <br />1 <br />1 <br />1 <br />-3- <br />1. Correspondence Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: Richard Connell ?- Title: President <br />Company Name: Connell Resources, Inc. Street/P.O. Box: 7785 Highland Meadows Parkway P.O. Box: <br />City: Fort Collins --- --?M <br />State: _ Colorado Zip Code: 80528 <br />Telephone Number: ( 9 7 0 _ -2 2 3 - 3151 <br />Fax Number.: ( 9 7 0 223-3191 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Contact's Name: Ty Thompson Title: Project Manager <br />Company Name: Applegate Group, Inc. <br />Street/P.O. Box: 1499 W. 120th Ave . , Suite 200 <br />P.O. Box: <br />Cit.,- Denver <br />State: Colorado Zip Code: 8 0 2 3 4 <br />hone Number: <br />Tele (3 0 3_ 4 5 2- 6 611 <br />p w <br />Fax Number: ( 303 452-2759 <br /> <br />INSPECTION CONTACT <br />Contact's Name: Larry Johnson Title: Operations Mngr <br /> Connell Resources, Inc. <br />Company Name: <br /> <br />Street/P.O. Box: 7785 Highland Meadows Parkway P.O. Box: <br />City: Fort Collins <br /> <br />State: Colorado Zip Code. 8 0 5 2 8 <br />hone Number: <br />'t'ele 9 70 00 - 223-3151 <br />p <br />Fax Number: ( 970 223-3191 <br /> <br />CC: STATE OR FEDERAL LANDOWNER if an <br />ency: <br />A <br />g <br />Street: -------______. _- .. ._.. __..__._. .-.--••--••-•-- --__ ___._ __ . __ .___..---.------- <br />City: <br />State: Zip Code' <br />Telephone Number: <br />CSC;.. STATE QR FEDERAL 1.AND(LWNER (if anyl <br />enc <br />: <br />A --- <br />y <br />g <br />Street: <br /> <br />Cit <br />: ------- <br />y <br />State., <br />Zip Code: <br />'t'elephone Number: ......