2015-10-30_REVISION - M1988112

• Permit No: M1988112
• IBM Index Class Name: Revision
• Doc Date: 10/30/2015
• Doc Name: Notice to Landowner
• From: DRMS
• To: Landowner
• Email Name: WHE
• Media Type: D
• Archive: No

v
10. Correspondance Information
APPLICANT/OPERATOR (name, aadress. and phone of name to be used on permit)
Individual's Name: A. walter wise
Company Name:
tsattic Mountain Resources, Inc.
Street:
_iss Clar Street, 42nii r-lvar
Ci ty :
Hous ton
State:
Texas Zip Code: 77002
Area Code:
(713) iciephonw: 45u-HU0 w
PERRLTTiNG CONTACT
(if different rrom applicant/operator above)
Individual's Name: Same
Company name:
DerrlLpprd Water Resources(WR)
Street:
—'"-
City:
�"-
State:
Area Code:
INSPECTION CDRiACj
Zip Code:
Telephone:
(if differeoz from appl;canttoperator above)
Individual 'a name:
Gary uaas"n
Company Name: battle MO-untain Resources, 1
P.U. bo.% 1600
Alamosa
,;oi�,raUo Zip Cudr:
/iy Telephone_ 672-3362
Street:
City:
State:
Area Code:
11. Primary future
D
Croplano(CR) C)
Pastureland(PL)
u
General Agriculzu.-eiGA)
land use
(Rick unci:
p
❑
Rangeland(RL) O
Residential(WO
Forest v.(FR)
Recreation(RC)
❑
❑
Hildlira nabitat(WL)
Industrial/Commercial(IC)
❑
DerrlLpprd Water Resources(WR)
U
Sv1id haste unsposal(WD)
iz. rrima.r ,resent
land use
❑
E3
Cropland(CR) Lj
Rangelana(RL) ❑
rastunland(PL)
Forestry(FR)
O
®
Ge,teral Agriculture(GA)
wildlife Habitat(KL)
(check one):
u
Residential(RS) ❑
Recreazion(RC)
❑
Industrial/Commercial(IC)
❑
Developed Water Resouvues(WR)
To the best of my knowledge, all the ;nfo mation presenzen on Ms application form and
the attached Exhibits A -P arc true and correct (must Be signed by applicant/upel-atur).
r
Date: �fl �,Zf 2 By:�-c-
t