2011-03-11_PERMIT FILE - M2011017 ‎(2)‎

• Permit No: M2011017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/11/2011
• Doc Name: Notices
• From: DRMS
• To: Various
• Email Name: DMC
• Media Type: D
• Archive: No

I
-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Rick Domson Title: Sec/Treas
Company Name: Breeze Basin Resources
Street/P.O. Box: P.O. Box: 181
City: Hayden
State: co Zip Code: 81639
Telephone Number: (___970 326-8689
Fax Number: ( 979 ?- 824-2840
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: Rick Domson Title: Sec/Treas.
Company Name: _ Breeze Basin Resources
Street/P.O. Box: P.O. Box: 181
City: Hayden
State: co Zip Code: 816 3 9
Telephone Number: ( 9 7 0_ 326-8689
Fax Number: ( 970 )- 824-2840
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) _
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ) -