2013-01-09_PERMIT FILE - M2013002

• Permit No: M2013002
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/9/2013
• Doc Name: New 110c Application
• From: Bear Ranch, LLC
• To: DRMS
• Email Name: GRM
• Email Name: DMC
• Media Type: D
• Archive: No

-2-
11. Correspondence Information:
APPLICANT/OPERATOR
(name, address, and phone of name to be used on permit)
Contact's Name:
Robert Gill
Company Name:
Bear Ranch, LLC
Street/P.O. Box:
30682 County Road 12
City:
Somerset
State:
Colorado
Telephone Number:
{ 970 1-929-5336
Fax Number:
( 970 ) - 929 -5343
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Eric Mangeot
Company Name:
Resource Engineer
Street/P.O. Box:
909 Colorado Avenue
City.
Glenwood Springs
State:
Colorado
Telephone Number:
( 970 ) _ 945 -6777
Fax Number:
( 970 ) _ 945 -1137
INSPECTION CONTACT
Contact's Name:
Robert Gill
Company Name:
Bear Ranch, LLC
Street/P.O. Box:
30682 County Road 12
City:
Somerset
State:
Colorado
Telephone Number:
970 _ 929 -5336
Fax Number:
970 ) _ 929 -5343
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Telephone Number:
Title: Ranch Manager
P.O. Box:
Zip Code: 81434
Title: Engineer
P.O. Box:
Zip Code: 81601
Title: Ranch Manager
P.O. Box:
Zip Code: 81434
Zip Code:
Zip Code: