PERMFILE65745

• Permit No: M1988057
• IBM Index Class Name: Permit File
• Doc Date: 5/23/1988
• Doc Name: LIMITED IMPACT OPERATION 110 APPLICATION FORM
• Media Type: D
• Archive: No

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Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Hobert S. Scott
Company Name: Can on Sand ?< Gravel
Street: P.0. Aox ~(~
City: Pagosa Springs, Colorado
State: Colorado Zip Code: 81147
Area Code: 30"i Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Same as above
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name: Same as above
Company Name:
Street:
City:
State:
Area Code:
Zip Code:
Telephone:
11. Primary future ^ Cropland(CR) ^ Pastureland(PL)°' p General Agriculture(GA)
land use ^ Rangeland(RL) ^ Forestry(FR) g] Wildlife Habitat(4!L)
(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 ,ny knowledge, all the information presented on this application form and
the attached Exhibits A-G are true and correct (must be signed by applic~an./t/operator).
Date: S//~/ 85I BY~ ~_ S, Sr~,~(.C~
~^~ i?obert S. Sco t
~~ e r a~o r
Till e
*' Fish Farming