2012-05-30_REVISION - M2008060

• Permit No: M2008060
• IBM Index Class Name: REVISION
• Doc Date: 5/30/2012
• Doc Name: REVISED AMENDMENT APPLICATION
• From: HANSEN LAW
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

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11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Chester W. Gebauer Title: Manager
Company Name: CLG Farms, LLC
Street/P.O. Box: 37951 Highway 34 P.O. Box:
City: Otis
State: Colorado Zip Code: 80743
Telephone Number: (970 ) - 246
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Kelly S. Hansen Title:
Company Name: Hansen Law LLC
Street/P.O. Box: 117 Main Ave. P.O. Box: 4
City: Ak ron
State: Colorado Zip Code: 80720
Telephone Number: ( 970 ) - 345-2219
Fax Number: ( 970 1- 345 -2210
INSPECTION CONTACT
Contact's Name: Chester W. Gebauer Title: Manager
Company Name: CLG Farms, LLC
Street/P.O. Box: 37951 Highway 34 P.O. Box:
City: Otis
State: Colorad Zip Code: 80743
Telephone Number: ( 970 ) - 246-3835
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: N/A
Street:
City:
State: Zip Code:
Telephone Number: ( ) -