2012-08-15_PERMIT FILE - M2012014

• Permit No: M2012014
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/15/2012
• Doc Name: UPDATED AND COMPLETE COPY OF 112c RECLAMATION PERMIT APPLICATION
• From: DIETZLER CONSTRUCTION COMPANY
• 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:
PERMITTING CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number.
Fax Number:
Agency:
Street:
City:
State:
Telephone Number.
Agency:
Street:
City:
State:
Telephone Number:
(
(
1
Joel State
Dietzler Construction Corporation
1306 Main Street
Torrington
307 ) _ 333 -7552
Patrick Engineering
Westminster
Telephone Number: ( 303 ) _ 532 -8627
Joel Slate
1306 Main Street
Torrington
CC: STATE OR FEDERAL LANDOWNER (if any)
N/A
CC: STATE OR FEDERAL LANDOWNER (if any)
N/A
- 3 -
Title: Project Manager
WY Zip Code: 82240
P.O. Box:
(if different from applicant/operator above)
Mickey Leyba - Farnsworth
1400 W. 122nd Ave, Suite 102
CO Zip Code: 80234
( 303 ) _ 532 -8621
Dietzler Construction Corporation
WY / Zip Code: 82240
307 ) _ 333=
Pit 113o
Title: Project / Engineering Manager
P.O. Box:
Title: Project Manager
P.O. Box:
f )-
Zip Code:
( ) -
Zip Code:
( 1 -