PERMFILE54814

• Permit No: M1988108
• IBM Index Class Name: Permit File
• Doc Date: 11/1/1988
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~ i
-2-
10. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Michael Nelligan
Company Name: Western Agqreqates, Inc.
Street: 11728 Highway 93
City: Eoulder
.state: Colorado Zip Code: 80303
4rea Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Mr. Paul aanks
Company Name: Hydro-Search, Inc.
:street: 350 Indiana Street, Suite 415
C1tY: Golden
State: Cnlnrar]n Zip Code: 80401
Area Code: 303 Telephone: [phone]
INSPE(:TION CONTACT (if different from applicant/operator above)
:Individual's Name: same as above
(:ompany Name:
Street:
(:; ty
f~tate: Zip Code:
F,rea Code: Telephone:
11. Primary future ^ 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(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(WR)
To the best of my knowledge, all the information presented on this application form and
the attached Exhibits A-P are true and correct (m t be signed by applicant/operator),
Date: ~ih ~~~ ~ 8~ By: '
Chie EJcecutive icer
Western A re at Inc.
i e