2009-10-15_REVISION - M2001085

• Permit No: M2001085
• IBM Index Class Name: REVISION
• Doc Date: 10/15/2009
• Doc Name: Additional Info.
• From: 120th Estate Partners
• To: DRMS
• Type & Sequence: AM4
• Email Name: DB2
• 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: Les Ewegen
Project
Title: Manager
Company Name: Les Ewegen LLC
Street/P.O. Box: WCR 39
City: Eaton P.O. Box:
State: Co.
80615
Zip Code:
Telephone Number: (30"67-16N ) _
Fax Number: (970-454-3039 _
PERMITTING CONTACT (if different from applicant(operator above)
Contact's Name:

Company Name: Title:
Street/P.O. Box:

City: P.O. Box:
State:

Telephone Number. Zip Code:
Fax Number:
INSPECTION CONTACT
Contact's Name: Les Ewegen Project
Title: Manager
Company Name:
Street/P.O. Box:

City: P.O. Box:
State:

Telephone Number: ( 303-667-1666) _ Zip Code:
Fax Number: (90-454-3039) _
CC: STATE OR FEDERAL LANDOWNER if an
Agency: NA
Street:
City:
State:
Zip Code:
Telephone Number:
CC: STATE OR FEDERAL LANDOWNER if an
Agency: NA
Street:
City:
State:
Zip Code:
Telephone Number. ( _