2012-04-27_REVISION - M1979140

• Permit No: M1979140
• IBM Index Class Name: REVISION
• Doc Date: 4/27/2012
• Doc Name: AMENDMENT APPLICATION SUBMITTAL
• From: MVR RESOURCES
• To: DRMS
• Type & Sequence: AM2
• Email Name: THM
• Media Type: D
• Archive: No

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11. Correspondence >;nformatioa:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Bob Kaleovdc Title: County Engineer
Company Name: Delta County
Street/P.O. Box: Courthouse - 501 Palmer St., Suite 227 P.O. Box:
City: Delta
State: Colorado zip code: 81416
Telephone Number: ( 970 ) _ 874 -2100
Fax Number: ( 970 ) _ 8742114
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Michael Ripp Title: Consultant
Company Name: MVR Resources, Inc.
Street/P.O. Box: 3990 Old Wagon Rd. P.O. Box: 54
City: Delta
State: Colorado Zip Code: 81416
Telephone Number. ( 970 ) _ 874 -5127
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: Larry Record Titl Foreman Dist. #4
Company Name: Delta County
Street/P.O. Box: Courthouse - 501 Palmer St., Suite 227 P.O. Box:
City: Delta
State: Colorado zip Code: 81416
Telephone Number: ( 970 1. 874 - 2133 or 234 - 4098
Fax Number: ( 970 ) _ 874 - 2114
CC: STATE OR FEDERAL LANDOWNER (if any
Agency:
Street:
City:
State: Zip Code:
Telephone Number: f )
CC: STATE OR FE DERAL LAN (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( 1