2010-02-01_REVISION - M1996050

• Permit No: M1996050
• IBM Index Class Name: REVISION
• Doc Date: 2/1/2010
• Doc Name: Response
• From: Forrest Leaf, P.E.
• To: DRMS
• Type & Sequence: AM1
• Email Name: ECS
• Media Type: D
• Archive: No

2-
It. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Galen Reese Title:
Company Name: Reese Contracting
Street/P.O. Box: P.O. Be.: 105
City: Atwood
State: Zip Code: 80722
Telephone Number: (970 .522-0867
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Galen Reese Title:
Company Name: Reese Contracting
Street/P.O. Box: P.O. Be.: 105
City: Atwood
State: Zip Code: 80722
Telephone Number: (970 I. 522-0867
Fax Number: ( 1-
INSPECTION CONTACT
Contact's Name: Galen Reese Title:
Company Name: Reese Contracting
Street/P.O. Box: P.O. Box: 105
City: Atwood
State: Zip Code: 80722
Telephone Number: (970 .522-0867
Fax Number: ( ] -
CC• STATE OR FEDERAL LANDOWNER (if anvl
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -