2011-07-06_PERMIT FILE - M2011027

• Permit No: M2011027
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/6/2011
• Doc Name: Complete and Revised 110c Application Package.
• From: Richard Wamsley
• To: DRMS
• Email Name: PSH
• 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: Richard L Wamsley Title: owner - operator
Company Name: DBA -RLW enterp18es
Street/P.O. Box: 3465 JCR 11 P.O. Box:
City: Walden
State: Colorado Zip Code: 80430
Telephone Number: ( 970 ) _ 7234353
Fax Number: ( ) -
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: Richard L Wamsley Title:
Company Name:
Street/P.O. Box: 3465 County Road 11 P.O. Box:
City: Walden
State: CO Zip Code: 80430
Telephone Number: ( 970 ) _ 531 -3313
Fax Number: ( ) -
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: ( )