PERMFILE47768

• Permit No: M1987113
• IBM Index Class Name: Permit File
• Doc Date: 6/25/1987
• Doc Name: APPLICATION FOR A MLR PERMIT
• Media Type: D
• Archive: No

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10. Correspondance Info rmation
APPLICANT/OPERATOR (name, address, and phone of name to be used on pernit)
' Individual's Name: Charles C. McKav & Ferry S. McKav
' Company Name:
St
t Church Ranch
ree
: 9030 Yukon Street Suite 3600
City: :Jes tminis ter
' State: Colorado Zip Code: 80020
Area Code: 303 Telephone: [phone]
' PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Stevan O'Brian
' Company Name: Environment, Inc.
Street: 9989 tdest 60th Ave. Suite 200
' City:
t
S Arvada,
80004
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Area Code: 303 Telephone: [phone]
' INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name:
' Company Name:
Street:
' City:
State: Zip Code:
' Area Code: Te
lephone:
11. Primary future ^ /
Cropland(CR) ® Pastureland(PL) ^ General Agriculture(GA)
' land use ^
(check one): ^ Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL)
Residentlal(RS)^ Recreation(RC1 ^ industrial/Commercial(IC)
^ Developed Water Resaurces(WR) p Solid Waste Disposal(WD)
' 12. Primary present ^ Cropland(CR) O3~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) _
'
To the best of my kno edge, all the information pres nted one s ap lication form and
' the attached/.E ibits A-P are true and correct (mus ~ signe b gyp lican !operator).
Date: l~ ~ By: ~'/ „"" ~'~L
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