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Permit Notification Request - (Long List: New Applications, <br />Amendments, and Conversions) <br />Permit ID: M2013084 <br />Permit Specialist: ECS <br />Permittee Name: Phillips County <br />Site Name: Phillips County Landfill Pit <br />Permitting Action: Permit Application <br />Request Date: 12/30/2013 <br />County Name: Phillips <br />Please attach PDF of Application Form, Exhibit A and Index Map using <br />the buttons below: (you don't need to use them all) <br />u File Attachment U,, File Attachment �11 File Attachment <br />PermitteeName: Phillips County <br />Permittee Address 1: 221 S Interocean Ave <br />Permittee Address 2: <br />City: Holyoke State: CO Zip Code: 80734 <br />[,-,County Planning Dept / County Commissioners <br />i/ r✓ Soil Conservation District: Haxtun <br />r- Municipalities Within 2 Miles of Site: <br />N/A <br />r Army Corp of Engineers: Denver <br />r/F DOW: NE <br />F Urban Drainage (only applicable if site is within 100year floodplain in Adams, Arapahoe, Boulder, <br />Denver, Douglas or Jefferson Counties) <br />F Bureau of Land Management (CD of Complete Application if on BLM land) <br />r- US Forest Service (CD of Complete Application if on Forest Service Land) <br />CDPHE Air and Water Quality Offices, 9SE Water Resources Division, Colorado State <br />Land Board, and Colorado Historical OSociety are all notified by the Administrative <br />Assistants as part of the standard procedure. <br />Page 1 of 1 <br />