PERMFILE62086

• Permit No: M1994077
• IBM Index Class Name: Permit File
• Doc Date: 7/5/1994
• Doc Name: Full App Pkge LIMITED IMPACT OPERATION 110
• Media Type: D
• Archive: No

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10. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: W_ n. Pavn ter
Company Name: ldashineton County
Street: >>> 21ain_ Box A
Clty: Akron
$tdte: Colorado Zip Code: 80720
Area Code: ~~ Telephone: ~~s_~~,g ~a?° 303-3tfs-a~10
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
Sta te:
Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name: John l:udnik
Company Name: Washington County
Street: Washington County Shop
City: Anton,
State: Zip Code: a„Rn,
Area Code: 3os Telephone: [phone]
11. Primary future Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA)
land use X Rangeland(RL) Forestry(FR) _ Wildlife Habitat(WL)
(check one): - Residential(RS) - Recreation(RC) Industrial/Commercial(IC)
_ Developed Water i~esources(WR) _ Solid Waste Disposal(WD)
12. Primary present Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA)
land use x Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL)
(check one): Residential(RS) Recreation(RC) _ Industrial/Commercial(IC)
_ Developed Water iFesources(WR)