2013-09-04_REVISION - M1982186 ‎(3)‎

• Permit No: M1982186
• IBM Index Class Name: REVISION
• Doc Date: 9/4/2013
• Doc Name: Conversion Application- Update
• From: Kit Carson County
• To: DRMS
• Type & Sequence: CN1
• Media Type: D
• Archive: No

ME
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
Co
State:
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
Todd Trobee
Title: MSHA Compliance Officer
Contact's Name:
Company Name: Kit Carson County
Street/P.O. Box:
P.O. Box: 160
City: Burlington
Co
State:
Zip Code: 80807
Telephone Number: ( 402 _ 760 -0691
Fax Number: ( 719 _ 346 -7732
CC: STATE OR FEDERAL LAN - DOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -