2011-05-06_PERMIT FILE - M2011027

• Permit No: M2011027
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/6/2011
• Doc Name: New 110c Application
• From: Richard L. Wamsley
• To: DRMS
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Richard L Wamsley
' Title: owner-operator
s Name:
Contact
me: DBA-RLW enterpises
N
C
a
ompany
Street/P.O. Box: 3465 JCR 11 P.O. Box:
Walden
City:
Colorado Zip Code: 80430
State:
( 970 ) - 723-4353
b
N
h
Cal - 970 - 5'N-
er:
um
one
Telep
x Number: ( q
F
a
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Title:
N
ame:
Company
Street/P.O. Box: P.O. Box:
rl:« ..
...y .
State: Zip Code:
b ( ) -
er:
Telephone Num
b ) -
er:
Fax Num L
INSPECTION CONTACT
Contact's Name: Richard L Wamsley Title:

N
C
ame:
ompany
Street/P.O. Box: 3465 County Road 11 P.O. Box:
Walden
?., CO Zip Code: 80430
State:
Telephone Number: (970 _ 531-3313
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
1-; -
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
A
5 --1
Street:,
State: Zip Code:
Telephone Number: ( ) -