2013-03-11_PERMIT FILE - M2013016

• Permit No: M2013016
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/11/2013
• Doc Name: New 112c Application
• From: Huerfano County Government
• To: DRMS
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT /OPERATOR
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:
Telephone Number:
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:
(
(ltg 1- 738- 30 5
I '7t 4 1- 13R- 344 6
Agency:
Street:
City:
State:
Telephone Number:
- 3 -
(name, address, and phone of name to be used on permit)
► � 1 MEL /tit1 `Q«/nJDS
tttt1e2RAnla Cola Airy anVC41.N MALT
`101 144..,J S`- r Su i'f1E tO ' P.O. Box:
W4t_5 i K(3 tli2 G
CoEoRA,
(if different from applicant/operator above)
■1bL 4,44‘..,,,v, 0
L., .DevEL0P 14 VAT; Z■ C.
asp W. ME2RILL. blast/F.—
T at aPLo ittiicxr
Co4o 0
( 71 q 1- .2 -4 9V- 2 - 4 /
( 71 ) - 5$3- OS83
Title: l) i IA.i.04E 414410,
Zip Code: 8 i o $4
Title: 601•)6u1.r,4 -/1(
P.O. Box:
Zip Code: 8 l 7
MELAN.iE. 13o(/AJOS Title: ILAD thiD4g_ AAMiN.
uece ` V A� Cow T Gv+J rc ACKr
40 i '1`tt4:i R ^ST`Z T Sal tE `or Box:
CoLotz4bo Zip Code: $ 1O8?
( -tee ) _ 738 -a oS 3
( 7i4 ) - '8- 3996
Zip Code:
Zip Code:
( ) -