PERMFILE67711

• Permit No: M1987164
• IBM Index Class Name: Permit File
• Doc Name: LIMITED IMPACT OPERATION 110 2 APPLICATION FORM
• Media Type: D
• Archive: No

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10. Correspondance Information
AP PLICANTJOPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Tonv A. Connell
Company Name: Connell Resources. Inc.
Street: 1425 South Lincoln
City: Loved and
State: rD Zip Code: Rns~~
Area Code: gp~ Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name: SAIVtE
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name: SAtv1E
Street:
City:
State: Zip Code:
Area Code: Telephone:
11. Primary future Cropland(CR) Pastureland(PL) General Agriculture(GA)
land use '7t Rangeland(RL) i' Forestry(FR) - Wildlife Habitat(WL)
(check one): - Residential(RS) - Recreation(RC) _ Industrial /Commercial(IC)
Developed Water ~sources(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/Comnercial(IC)
i Developed Water 1~esources(WR) Abp Prelaw Gravel Pi t