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Bureau of Land Management Appendices <br /> Royal Gorge Field Office DOI-BLM-CO-FO20-2020-0036 EA <br /> i <br /> -2- <br /> 10. Correspondance Information <br /> APPLICANT/OPERATOR (name, address, and phone of name to be used on permit,) <br /> Individual's Name: - niii Tazak <br /> Company Name: enlon-d Quarripq. Inc. <br /> Street: 11;.. a wale_ awe n 0 8ox1,1a4 <br /> City: ca=n Qi-t <br /> State: Zip Code: Ri?� <br /> Area Code: ♦ Telephone: f <br /> PERMITTING CONTACT (if different,from applicant/operator above) <br /> Individual's Name: <br /> Company Name: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Area Code: Telephone: <br /> INSPECTION CONTACT (if different from applicant/operator above) <br /> Individual's Name: <br /> Company Name: <br /> Street: <br /> City: <br /> State: Zip Code: <br /> Area Code: Telephone: <br /> 11: Primary future ❑ Cropland(CR) ' 0 Pastureland(PL) ❑ General Agriculture(GA) <br /> land use ® Rangeland(RL) O Forestry(FR) 0 Wildlife Nabitat(WL) <br /> (check one): El Residential(RSM Recreation(RC) ❑ Industrial/Commercial(IC) <br /> ❑ Developed Water Resources(WR) El Solid Waste Disposal(WO) <br /> 12. Primary present ❑ Cropland(CR) - ❑ Pastureland(PL) ❑ General Agriculture(GA) <br /> land use ® Rangeland(RL) O Forestry(FR) O Wildlife Nabitat(WL) <br /> (check one): O Residential(RS) ❑ Recreation(RC) ❑ Industrial/Commercial(IC) <br /> C7 Developed Water Resources(WR) <br /> To the best of nay knowledge, all the information presented on this application form and <br /> the attached Exhibits A-G are true and correct (m t be signed by applicant/operator). <br /> Date: �� /l! - �� By: <br /> President <br /> e <br /> I <br /> A-25 <br />