2012-10-01_REVISION - M1977305 ‎(14)‎

• Permit No: M1977305
• IBM Index Class Name: REVISION
• Doc Date: 10/1/2012
• Doc Name: Amendment Submittal- EPP
• From: Cotter Corp.
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

14. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit):
Contact's Name: Glen Williams Title: Manager
Company Name: Cotter Corporation
Street 28151 Dd Road U n Box: 700
City:
State:
Nucla
Colorado Zip Code: 81424
Telephone Number: ( 970 ) _ 864 -7347
Fax Number: ( )
PERMITTING CONTACT (if different from applicant /operator above):
Contact's Name: Title:
Company Name:
Street: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( 1 -
INSPECTION CONTACT:
Contact's Name: Glen Williams Title: Manager
Company Name: Cotter Corporation
Street: 28151 Dd Roa P.O. Box: 700
City:
State:
Nucla
Colorado Zip Code: 81424
Telephone Number: ( 970 )
Fax Number: ( )
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency:
Street:
City:
State:
U.S. Department of Energy
_ 864 -7347
11025 Dover Street, Suit 1000
Westminister
Colorado
-4-
Zip Code: 80021
Telephone Number: (720 _ 377 - 9683
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )