PERMFILE66237

• Permit No: M1989029
• IBM Index Class Name: Permit File
• Doc Name: APPLICATION FOR A REGULAR OPERATION 112 MLR PERMIT
• Media Type: D
• Archive: No

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10. Correspondence Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Bob Allen
Company Name: c s M companies
Street: P. 0. Box 990 - 7916 Niwot Road
City: Niwot
State: Colorado Zip Code:80544
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (1f different from applicant/operator above)
Individual's Name: Mike Applegate
Cortipany Name: Tuttle Applegate Rindahl, Inc.
Street: 11990 Grant Street Suite 410
City: Denver
StalLe: ColnraAo Zip Code: 80233
Area Code: Telephone:
INSPECTION CONTACT (1f different from applicant/operator above)
Individual's Name:
Company Name:
Strreet:
Ci •ty : -
State: Zip Code:
Area Code: Telephone:
11. Primary future D Cropland(CR) O Pastureland(PL) lQ General Agriculture(GA)
land use D Rangeland(RL) ^ Forestry(FR) D Wildlife Habitat(WL)
(check one): p Residential(RS)O Recreation(RC) ^ Industrial/Commercial(IC)
D Developed Mater Resources(WR) D Solid Waste Disposal(WD)
12. Primary present D Cropland(CR) D Pastureland(PL) 1R General Agriculture(GA)
land use O Rangeland(RL) ^ Forestry(FR) p Wildlife Habitat(WL)
(check one): O Residential(RS) O Recreatlon(RC) ^ Industrial/Commerctal(IC)
^ Developed Water Resources(WR)
To the best of my knowledge, ail the Information presented on this application form and
the attached Exhibits A-P are true and correcty(mu be signed b~ icant/operator).
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