2012-04-17_PERMIT FILE - M2012016

• Permit No: M2012016
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/17/2012
• Doc Name: ‎(111)‎ SPECIAL OPERATION PERMIT APPLICATION
• From: PUCKET LAND COMPANY
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

15. Correspondence Information:
tPPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
j/ / r Contact's Name: Ray Anderson Title: Land Manager
Company Name: Puckett Land Company
Street/P.O. Box: 5460 S. Quebec St., Suite 250 P.O. Box:
City: Greenwood Village
State: Colorado Zip Code: 80111
Telephone Number: ( 303 ) _ 763 -1000
Fax Number: ( 303 ) _ 763 -1040
C
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Chuck Whiteman Title: R.L.S.
Company Name:
Street/P.O. Box: 285 8th St. P.O. Box:
City: Meeker
State: Colorado Zip Code: 81641
Telephone Number: ( 970 ) _ 250 -2500
Fax Number: ( ) _ email chuck @rioblanco.com
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INSPECTION CONTACT
Contact's Name: Chuck Whiteman Title: R.L.S.
ompany Name:
Street/P.O. Box: 285 8th St. P.O. Box:
City: Meeker
State: Colorado Zip Code: 81641
Telephone Number: (9 _ 250 -2500
Fax Number: ( ) - email chuck @rioblanco.com
CC: STATE OR FEDERAL LANDOWNER (Warn')
Agency: NA
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: NA
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
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