2008-10-06_PERMIT FILE - M2009002 ‎(2)‎

• Permit No: M2009002
• IBM Index Class Name: Permit File
• Doc Date: 10/6/2008
• Doc Name: New Appl
• From: Baca County
• To: DRMS
• Email Name: AJW
• Media Type: D
• Archive: No

-3-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
*
Contact's Name: /7ALJ.SW Title: e! CDMIVVS- 110 ?6 -1-
2
Company Name: SA CA C.O U m ly 6, 0 y ffkN m t ltf r
Street/P.O. Box: 7-111 W14/iV s?. P.O. Box: /
City: s I N6F l udn
State: C o L O ?. ® Zip Code: 70
Telephone Number: c -7/!y - s? S 3 Z
S Z 3 - S
Fax Number: ( 7 / 21 )
.
PERMITTING CONTACT (if different from applicant/operator above)
ct's Name: SAMC- 6S AROdE-
nt
C Title:
o
a
Com
any Name:
p
Street/P.O. Box: P.O. Box:
City:

State: Zip Code:
hone Number: ( )
Tele
p
Fax Number: ( )

INSPECTION CONTACT
t's Name: AS
t
C Title:
on
ac
Company Name:

Street/P.O. Box: P.O. Box:
Cit
:
y
State: Zip Code:
hone Number: ) -
Tele
p
Fax Number: ( ) -

CC STATE OR FEDERAL LANDOWNER (if any)
enc
A
: L?t1/
g
y
Street:

Cit
:
y
State: Zip Code:
Telephone Number: ) -
Agency:
Street:
Citv:
State:
Telephone Number:
Zip Code: