2011-03-21_REVISION - M1984036

• Permit No: M1984036
• IBM Index Class Name: REVISION
• Doc Date: 3/21/2011
• Doc Name: Complete and Revised Amendment Application Form
• From: Varra Companies, Inc.
• To: DRMS
• Type & Sequence: AM2
• 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: Christopher L Varra Title: President

Company Name: Varra Companies, Inc
Street/P.O. Box: 8120 Gage `.Street P.O. Box:
City: Frederick

State: Colorado Zip Code: 80516

hone Number:
Tele ( 303 ) - 666-6657
p
Fax Number: ( 303 ) - 666-6743

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:

hone Number:
Tele ( ) -
p
Fax Number: ( ) -

INSPECTION CONTACT
Contact's Name: Same as above Title:

(`nM"nnv MAMP.
Street/P.O. Box: P.O. Box:
rite.
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
A aPnrv-
Street:
City:
State: Zip Code:
Telephone Number. ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City-
State: Zip Code:
Telephone Number: ( -