PERMFILE44691

• Permit No: M1987038
• IBM Index Class Name: Permit File
• Doc Date: 3/4/1987
• Doc Name: GOSNEY & SONS INC REGULAR 112 APPLICATION BAYFIELD PIT 1
• Media Type: D
• Archive: No

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10. Correspondance Information
' APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Don Gosney
' Company Name: Gosney and Sons, Inc.
Street: Box 367, 357 N. Mountain View Dr.
i ' City: Bavfield
State: Colorado Zip Code: 81222
' Area Code: 1303) Telephone: [phone]
b
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PERMITTING CONTACT fferent
rom app
cant/operator a
ove)
(i
~ Individual's Name:
' Company Name:
Street:
' City:
State: Zip Code:
' Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name:
' Company Name:
Street:
' City:
State: Zip Code:
' Area Code: Telephone:
11. Primary future ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
land use p Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL)
' (check one): ^ Residential(RS)^ Recreation(RC) ^ Industrial/Commercial(IC)
^ Developed Water Resources(WR) ^ Solid Waste Disposal(WD)
' 12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
land use ® Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL)
(check one): ^ Residential(RS) ^ Recreation(RC) ^ Industrial/Commercial(IC)
' ^ Developed Water Resources(lJR)
To the best of my knowledge, all the information presented on this application form and
the attached Exhibits A-P are true and correct (must sinned by applicant/operator).
Dat e: .~~~/,~/~ By:

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