2010-11-12_REVISION - M1980041

• Permit No: M1980041
• IBM Index Class Name: REVISION
• Doc Date: 11/12/2010
• Doc Name: Conversion Application ‎(CN-01)‎
• From: James L. Treat
• To: DRMS
• Type & Sequence: CN1
• Email Name: SSS
• Email Name: GRM
• 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: James L TreM Title:

Company Name:
Street/P.O. Box: 225 G Street P.O. Box:
City: Salida
State: Colorado Zip Code: 81201
Telephone Number: (719 _ 539-2215
Fax Number: (719 _ 539-2588

PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Angela Bellantoni Title: President
Company Name: Environmental Alternatives Inc
Street/P.O. Box: 1197 Main Street P.O. Box:
City: Canon City
State: Colorado Zip Code: 81212
Telephone Number: (19 _ 275-8951
Fax Number: (719 _ 275-1715

INSPECTION CONTACT
Contact's Name: James L. Treat Title:

Company Name:
Street/P.O. Box: 225 G Street P.O. Box:
City: Salida
State: Colorado Zip Code: 81201
Telephone Number: (719 _ 539-2215
Fax Number: (719 _ 539-2588

CC: STATE OR FEDERAL LANDOWNER (if any
Agency:

Street:

City:

State: Zip Code:

Telephone Number: ( 1-

CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:

Street:

City:

State: Zip Code:

Telephone Number: j 1-