2012-05-09_PERMIT FILE - M2012014 ‎(2)‎

• Permit No: M2012014
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/9/2012
• Doc Name: REGULAR ‎(112)‎ OPERATION RECLAMATION PERMIT APPLICATION FORM
• From: Dietzler Construction Corporation
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number: (
Fax Number: (
Joel Slate
Dietzler Construction Corporation
1306 Main Street
Torrington
307 ) _ 333 -7552
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Mickey Leyba- Farnsworth Title: Project / Engineering Manager
Company Name: Patrick Engineering
Street/P.O. Box: 1400 W. 122nd Ave, Suite 102 P.O. Box:
City: Westminster
State: CO Zip Code: 80234
Telephone Number: ( 303 ) _ 532 -8627
Fax Number: ( 303 1. 532 -8621
JNSPECTION CONTACT
Contact's Name: Joel Slate Title: Project Manager
Company Name: Dietzler Construction Corporation
Street/P.O. Box: 1306 Main Stree P.O. Box:
City: Torrington
State: WY Zip Code: 82240
Telephone Number: ( 307 ) _ 333 -7552
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
N/A
CC: STATE OR FEDERAL LANDOWNER (if any)
- 3 -
Title: Project Manager
P.O. Box:
WY Zip Code: 82240
State: Zip Code:
Telephone Number: ( 1-
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( 1