2009-09-21_REVISION - M2002014

• Permit No: M2002014
• IBM Index Class Name: REVISION
• Doc Date: 9/21/2009
• Doc Name: Conversion application
• From: Robins Construction, LLLP
• To: DRMS
• Type & Sequence: CN1
• Email Name: MAC
• 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: Randy Robins Title: General Partner
Company Name: Robins Construction, LLLP
Street/P.O. Box: P.O. Box: 212
City: Antonito
State: Colorado Zip Code: 81120
Telephone Number: (719 1-376-2351
Fax Number: L719 ? - 376-2651
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Scott E. Johnson Title: PEBPLS
Company Name: Summit Engineering Company
Street/P.O. Box: P.O. Box: 1897
City: Alamosa
State: Colorado Zip Code: 81101
Telephone Number: L719 1-589-6147
Fax Number: f 719 1- 589-6633
INSPECTION CONTACT
Contact's Name: Randy Robins Title: General Partner
Company Name: Robins Construction, LLLP
Street/P.O. Box: P.O. Box: 212
City: Antonito
State: Colorado Zip Code: 81120
Telephone Number: i 719 1-376-2351
Fax Number: (719 ) _ 376-2651
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ! 1-