2008-11-21_REVISION - M1978222UG ‎(21)‎

• Permit No: M1978222UG
• IBM Index Class Name: REVISION
• Doc Date: 11/21/2008
• Doc Name: Conversion application from 110‎(2)‎ to 112‎(d)‎ part 1
• From: Nuvemco, LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: GRM
• Media Type: D
• Archive: No

-d-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit):
Contact`s Name:
Company :dame:
Title: X11 i& wa R ,r _
Street: _lon 1 3200 QAAA P.O. Box:
City: /?
State: Zip Code: D "t n q ---
Telephone Number: G-11-37-L41
Fax Number: CUP -}._ - _?1 l2Z.
PERMITTING CONTACT (if different from applicant`operator above):
Contact's Name:
Company Name:
Street:
City:
State:
Zip Code: 0u( 17--
Telephone Number: - 77 - 1
Fax Number: ( 120
Contact's Name: k"N N`. c _e_ Title: Winn aAOQ
Company Name: UIRACo I LG _
Street: ?iIw (1Oat? P.O. Sox:
City: iss
State: ro I omd 0 Zip Code: L4 kIct
Telephone Number:
Fax Number: ( Q C) } - 1 ?/ 22 1 qL
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: NIA Pake %--ed Claims
Street:
City:
State:
Telephone Number:

Zip Code:
CC: ffXI'E OR I'EDF,RAL LANDOWNER (if any)-
Agency: -----.-__P...a?k?..__.__CAgiMS---- _._.._..._.__._..----..._.__._...-----__._.__..---.-- --------
Street:
City:
State: _
Telephone _-Number,

h1/$r??5 av SOl/t1 ?1 v P.O. Box:

Zip Code: