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,r-%IIA CVI_R-U I N.IV 1 CIUI1C)Z)1U 11 IUU I lk-A <br /> loss ilnAlF_tJeld Couutq Public Nooks --- — PERMIT NO. <br /> 611!-nDDRFSS_ P.tJ. Gox 753, Greeley, CD 811632 PLAM'LOCATMI 41CK 13, l/2 mile south of 4J l'K K2-ea§t cDUpJiY_Weld___ <br /> F.rSCttfIXICOf11AMRF.C:ARDITIGTI? IM-ORMAT10H tree Nelson ;nn.E Plinio ' Supervisor PIIONE 970 356-40U(l, Exc . 3i5r1 <br /> QtEp&L DFSCRPPJ70N OF TkIS pLAtir"S FVNCRDN I—cava Le aucL StO�_kp ile c.�lth 2 l;at 633 SC Ca peL's FEDERAL TAX I.D.NO. 84-6000013 <br /> lt.c;FlJFatAL IIIFORAfA710N� 1'la„Ml Dpernliau nC Pla,d fiacre,S<saannl Thnvyhpul fti of nnmulJ AhhlilUGH.INFURSIAfllkti tlH RF:�IARK'S: (}tie Une I'+ri�jB.'C . <br /> n�,offmrlo>'eee land Arta UamnlDey ItauoJYeor Dey,/Wcrk Un-fch nlerp�l�Y��Ivn.AuF sap-IJn� CsCa Va to and sl_ockp ile: stoc kpl].ed u,n CeL'lal. <br /> 3 - lU !` 18 10/dav 4 wk__ 25 i5%e I U I U remov at later dahe: nn pmcessine em+i.Fmcnc <br /> 6.31 ACK UR VEN I'INFOP.ttlAt[ON Qdemify b<tow••hirh deck if rinnl Ive fw nr�mre;r<1'rr 4n eRe;h<d rl'tt:h of hlenl leJttull `--�-- <br /> IhiRFt LL Dlnntd!1 1'" ertlun Flnw Rete Vcbtcit Alnirnru Pbnl IU Na,lac Suck <br /> n _ n P 'F ncFEt Y nrm�__—��..�_ — . <br /> �ilFl_INFORhV:IION I7asiRn Bale [Litd o iel Armral Fuel Cemumrtian Fuel Heertni vnhre: roe C'em bby 11'.4fit Sce"innl Fuel Ure(!F(!F of Au,v'ol IJie) Sparc Ilip <br /> `;t:,ipdnn of Comhuninn Unir (ICr BT11JIIR) Ren,ed iegv<srtd keel ban Jror k•d (BTIJnh. RTIJIjA rn - — fR Am) <br /> 9TDlSCF) <br /> De Sulfur A,h c-Fs (erhLy Juo-hq: Stp,Nm <br /> s.; <br /> `?rgY'iT: <br /> MOCFSS 1NFDAMAIIIIpI ltsw M1lererillt U.xd Rnw hlnleriele-Armu+l Con+a'mpi;un DeriRn P.en FW'Imd Fmdvet Fitmht Prodeel.Auwej Uvirul <br /> 'ari)tian Mfrna,i.n;Jlnft Deeciipl'mn �P,k(ds prd level. Data}'aa I<vel lSpaify Urdu/lbrv<) Lk eedr6nnp(tyf. �y[�thly Dan veer le,et <br /> .fD1,WJ(U(+CUNT Rol.F-QUIfh1wr owm.11 �`'?'.Y�;3F,SFN( P,Q E<\16S1i>NS•. ACPVAI, ESWAA11014 CHECK AIL"XF-q TIIAT APPI.Y <br /> Colltetinn )IADUOFCFUT3 EM MONS AIFf IM) <br /> ofl„"�r t'hne t+f Cminal E.ga;[rmem 'E �ry��• Nev ar pn+iou,ly ureepcdraa nueeea <br /> EfFreirney ` [1P,5jEl ABVV6 fDATA YF.ARI lJRtgnndnj �frrtion nF rdrdng pe,m:iIl <br /> frimnry T_Seem,daey Ci0tFI7iD6GEQt UliCQ171 FlOLLED O Ch,ngt in em4done,thnnrgr,ri. <qulprrrcrr.t <br /> miechie c' •.:(;):i5e'F.: „,: _ O Tnndn of w cWp fUel pce vinne a,.ar in RFjd nRR' <br /> mo ❑RAotetian of Smertrt <br /> r-S7m ^'"'' :-.'.. _._. <br /> �..,�ir, ❑ freviaus MEtJ it eupirirrylt <br /> ❑ M1(sndiInry ulydate or dcfcmd repartinKl <br /> �`." --' ;t'��'�.� e. .Q ":- 'l�.ti^q''x�Ii%•�-e _ ❑ R<gv[d for Emininn Rrdae(ron Crcdii tl <br /> err •+ .. _`_ <br /> •r- Es<>i: r2i'�^ N:, • Ca Tree a17xprlicible pavicm a(APErl <br /> f.13A E AfCI)IIAT AUUb',lJDM l RAI i0 I.f01Ff <br /> e1^' "n^ "•'� - .. I Comrltft rhs&d arcs,I'Relueif lr vlu-,) <br /> © CIIECX IIERE IF 1'Ull 111511 THE DIVISION TO CALCULATE OUR <br /> t Complete ell inforrndon above ban A, end Lha,e <br /> ,t7,,Aj p(Ifn AIR FOLLUfAtFT MUSSIONS OR O IT(Ei( Efr1IS5[OYS. SEI:'EMISSION INTIMATES-IPISIRI.rCTiU�\5 U1 PACK. � P <br /> 7LLUGti97SP10rLISTED HOVE nunl abnJaRlchre(kee— u <br /> p+ebn^.n(T1:nvn 1'-nl1 n,hnnzed to Surply-Pt": DA1F• ATAYEAR(SSeelretruninneun Revere,); <br /> R Y <br /> Rlntc end'1hh: DFehrur iry l�j�begin apereva <br /> n: <br /> !;reg Nelson, Ilioiug Supervisor <br /> IIIS WMICE IS VALID FOR FIVE: YFARS A rer(gd Ralice d�ntl he IJed prior to Ihia A-- lup Fl LING FYF. IS RF,QUIREt) M11a 1 tn: <br /> c.DLD0.ADODEPARTMFfiraFHEALTH PCNF (IF <br /> .ylr,rha,fnlr,+•hen•verns�emltltndpllannratherin,dified, FO <br /> R EACF1 NOTICE MED. AYCD_SS-RI --- <br /> .."..-- ......:R�a,•e nnirlinn,hoops nc[mr. Fnr AIRS ID WCD USFI <br />