PERMFILE57822

• Permit No: M1989065
• IBM Index Class Name: Permit File
• Doc Date: 6/6/1989
• Doc Name: Regular 112 Permit Application Form
• Media Type: D
• Archive: No

-2-
10. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
Jim Barrett
Hallett Materials
P. 0. Box 352
Franktown
Colorado Zip Code: 80116
303 Telephone [phone]
Date: "d a to s �z By:
PERMITTING CONTACT
(if different from applicant /operator
above)
Individual's
Name: Mike Applegate
Company Name
Tuttle Applegate Rindahl.
Inc.
Street:
11990 Grant Street, Suite 410
City:
Denver,
State:
Colorado Zip Code: 80233
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:
Telephone:
11.
Primary future
Cropland(CR) Pastureland(PL)
General Agriculture(GA)
land use
xR10geland(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
xRWgeland(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 pre,ented on this application form and
the
attached Exhibits A -P are true and correct (mu ;t
pe signed
by applicant /operator).
Date: "d a to s �z By: