PERMFILE46772

• Permit No: M1991037
• IBM Index Class Name: Permit File
• Doc Date: 4/3/1991
• Doc Name: LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-2-
9. .Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Clifford L. Pridemore
Company Name: Pridemore Constru0tion Inc_
Street: Co. Rd. 256
CitY~ PO Box 317. Poncho Snrinec
State: Colorado Zip Code: 47~~~
Area Code: 719 Telephone: 539-as a
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT
Individual's Ndme: Clifford_L. Pride-mnrP
Company Name: Pridemore Conctrict;nn Tnr
Street: Co. Rd. 256
clty: PO Box 317, Pnncha Snrin~.c
State: Colorado Zip Code: R~~,,~
Area Code: 719 Telephone: 539_r,s~i,
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
ArA~ Corse: Telephone:
CC:.,__y_71{TE__,~1,R rEO~RAL_LANDOWNER_(if any)
Aaonryt
Street:
City:
State: Zip Code:
Area Code: Telephone: