2010-11-18_REVISION - M1978332

• Permit No: M1978332
• IBM Index Class Name: REVISION
• Doc Date: 11/18/2010
• Doc Name: Submittal
• From: Colorado Rose Red, Inc.
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: L'( E-GV F-`- V) Title: _
Company Name:
C?
Street/P.O. Box:
P.O. Box
City: t-YaN
State: D,40a Zip Code
Telephone Number: ( 303 - 923- 60-7-3
Fax Number: ( J Q3 _ 2 3 _. 6 0 2 3
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title: _
Company Name:
Street/P.O. Box: P.O. Box:
City:
State: Zip Code:

Telephone Number: ( ) _
Fax Number: ( ) _
INSPECTION CONTACT

Contact's Name: Title:
Company Name: coca e-Mbo P-c?S- PROD wC',
Street/P.O. Box: I u&- cd-4r-Y N •`? P.O. Box:
city: L Y myj3 gam,
State: 0-occ aNho Zip Code:
Telephone Number: ( 3Q3 ) _ ?Z "j - ?v G4 Z Z?
Fax Number: ( Da3 ) - 92-3 - 6c7--73
CC: STATE OR FEDERAL LANDOWNER (if and
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code: _
Telephone Number: ( ) _
iP (13 V-
?5 ?(G