2009-09-10_PERMIT FILE - M2009074

• Permit No: M2009074
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/10/2009
• Doc Name: New 110c Appl.
• From: Environment, Inc. for Colorado Backhole Service
• To: DRMS
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Thomas Joseph
Company Name: Colorado Backhoe Service
Street/P.O. Box: 25193 South Road
City: Pueblo
State: CO
Telephone Number: (719 _ 924-0288
Fax Number: (719 1-
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Stevan L. O'Brian (Steve)
Company Name: Environment, Inc.
Street/P.O. Box: 7985 Vance Dr., Suite 205A
City: Arvada

State: co
Telephone Number: (303 423-7297
Fax Number: (303 _ 423-7599
INSPECTION CONTACT
Contact's Name: Tom Joseph
Company Name: Colorado Backhoe Service
Street/P.O. Box: 25193 South Road
City: Pueblo
State: CO
Telephone Number: (719 _ 924-0288
Fax Number: (719 ) -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:

Street:

City:

State:

Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:

City:

State:

Telephone Number: j ) -
Title: Owner
P.O. Box:
Zip Code: 81006
Title: President
P.O. Box:
Zip Code: 80003
Title: Owner
P.O. Box:
Zip Code: 81006
Zip Code:
Zip Code: