2010-11-05_REVISION - M1981185

• Permit No: M1981185
• IBM Index Class Name: REVISION
• Doc Date: 11/5/2010
• Doc Name: Aapplication to covert 110‎(2)‎ to 112‎(d-1)‎ CN-01
• From: R2Incorporated
• To: DRMS
• Type & Sequence: CN1
• Email Name: WHE
• Email Name: SSS
• Media Type: D
• Archive: No

-4-
14. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used o n permit):
Contact's Name: George Robinson Title: Consultant
Company Name: R Squared, Incorporated
Street: 5555 DTC Parkway - Suite A-4000 P.O. Box:
City: Greenwood Village, CO, 80111
State: Colorado Zip Code: 80111
Telephone Number: (303 ) - 832.7664
Fax Number: (303 ) - 832.7469
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: George Robinson Title: Consultant
Company Name: R Squared, Incorporated
Street: 5555 DTC Parkway - Suite A-4000 P.O. Box:
City: Greenwood Village,
State: Colorado Zip Code: 80111
Telephone Number: ( 303 832.7664
Fax Number: (303 832.7469
INSPECTION CONTACT:
Contact's Name: George Robinson Title: Consultant
Company Name: R Squared, Incorporated
Street: 5555 DTC Parkway - Suite A-4000 P.O. Box:
City: Greenwood Village
State: Colorado Zip Code: 80111
Telephone Number: (303 832.7664
Fax Number: (303 832.7469
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency: Not applicable
Street:
City:
State: Zip Code:
Telephone Number: ( ) _
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: Not applicable
Street:
City:
State: Zip Code:
Telephone Number: ( _