2009-10-30_REVISION - M1996050

• Permit No: M1996050
• IBM Index Class Name: REVISION
• Doc Date: 10/30/2009
• Doc Name: Request for Additional Information
• From: Forrest Leaf, P.E.
• To: DRMS
• Type & Sequence: AM1
• Email Name: ECS
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contacts Name: Galen Reese
Company Name: Reese Contracting
Street/P.O. Box:
City. Atwood
State: Colorado
Telephone Number: (970 _ 522-0867
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above)
Contacts Name: Galen Reese
Company Name: Reese Contracting
Street/P.O. Box:
City: Atwood
State: Colorado
Telephone Number: (970 ) - 522-0867
Fax Number: ( ) -
INSPECTION CONTACT
Contacts Name: Galen Reese
Company Name: Reese Contracting
Street/P.O. Box:
City. Atwood
State: Colorado
Telephone Number: ( 970-0$671-
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number: ( ) -
Title:
P.O. Box: 105
Zip Code: 80722
Title:
P.O. Box: 105
Zip Code: 80722
Title:
P.O. Box: 105
Zip Code: 80722
Zip Code:
Zip Code: