2013-07-01_REVISION - M1982186

• Permit No: M1982186
• IBM Index Class Name: REVISION
• Doc Date: 7/1/2013
• Doc Name: Conversion Application
• From: Kit Carson County
• To: DRMS
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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IL Correspondence Information:
APPLICANT /OPERATOR
(name, address, and phone of name to be used on permit)
Contact's Name:
Dave Homung
Title: Chairman
Company Name:
Kit Carson County
Street/P.O. Box:
P.O. Box: 160
City:
Burlington
State:
Co
Zip Code: 80807
Telephone Number:
( 719 ) _ 346 -8139
Fax Number:
( 719 ) _ 346 -7242
PERMITTING CONTACT
(if different from applicant/operator above)
Contact's Name:
Paula Weeks
Title: Administrator
Company Name:
Kit Carson County
Street/P.O. Box:
P.O. Box: 160
City:
Burlington
State:
Co
Zip Code: 80807
Telephone Number:
( 719 _ 346 -8139
Fax Number:
( 719 _ 346 -7242
INSPECTION CONTACT
Contact's Name:
Todd Trobee
Title: MSHA Compliance Officer
Company Name:
Kit Carson County
Street/P.O. Box:
P.O. Box: 160
City:
Burlington
State:
Co
Zip Code: 80807
Telephone Number:
( 402 _ 760 -0691
Fax Number:
( 719 _ 346 -7732
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
( 1-
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number:
( ) -