2013-01-23_PERMIT FILE - C1981028

• Permit No: C1981028
• IBM Index Class Name: Permit File
• Doc Date: 1/23/2013
• Section_Exhibit Name: Application
• Media Type: D
• Archive: No

2
(Revised 01/2013)
6. Correspondence Information
APPLICANT /OPERATOR (Name, Address and Phone of Name to be used on Permit)
Individual's Name: Michael Glade
Company Name
Street:
City:
State:
Telephone:
PERMITTING CONTACT
Individual's Name:
Company Name:
Street:
City:
State:
Telephone:
INSPECTION CONTACT
Individual's Name:
Company Name
Street:
Coors Energy Company
P.O. Box 467
Golden
Colorado, 80402
3j 03) 927 -3648
(If different from Applicant/Operator above)
Benjamin M. Moline
Coors Energy Company
(Same as above)
3( 03) 927 -3680
(If different from Applicant/Operator above)
Danny Kipp
Coors Energy Company
13495 Weld County Road 61
City: Keenesburg
State: -Colorado, 80643
Telephone: [phone] (Cell)
7. Location Information: The center of the operation lies in -
County: Weld
USGS Quadrangle: K1ug Ranch
Principal Meridian (check one): X 6th (Colorado) _ 10th (New Mexico) _ Ute
Township (Write number and check direction): 0 3 X North _ South
Range (Write number and check direction): 6 4 —East X West
Section: 25 Quarter Section (Check one): _ NE _ NW X SE _ SW
Quarter - Quarter Section (Check one): _ NE _ NW _ SE X SW
Longitude (Write number): 1 0 4 Degrees (102 -110) 2 9 Minutes (0 -60)
4 8 0 Seconds (0.00 -60.0)
Latitude (Write number): _(L __4_.D_ Degrees (37 -41) 1 1 Minutes (0 -60)
3 6 . 0 Seconds (0.00 -60.0)