PERMFILE69458

• Permit No: M1990098
• IBM Index Class Name: Permit File
• Doc Date: 7/19/1990
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• 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: Sprague M. Mayger
Company Name: Asphalt Paving Company
Street: 14802 West 44th Street
C11<y: Golden
5~~; Colorado Zip Code: 80401
Area Code: ~o~ Telephone: [phone]
PERMITTING CONTACT (1f different trap applicant/operator above)
IndlVidual'S Name: dame as above
Canparp~ Name:
Street:
City:
State: Zip Cade:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name: Same as above
Canpar~y Name:
Street:
Ci>iy:
State: Zip Code:
Area Code: Telephone:
11. Primary future Cropland(CR) xxPastureland(PL) General Agriculture(GA)
land use Rangeland(RL) Forestry(FR) Mi1d11fe Habitat(NL)
(check one): Residential(RS) Recreation(RC) Industrial/Cammercial(IC)
Developed Mater Resources(NR) So11d Waste Disposal(WD)
12. Primary present Cropland(CR) xl~astureland(PL) General Agriculture(GA)
land use Rangeland(RL) Forestry(FR) Nildlife Habitat(ML)
(check one): Residential(RS) Recreatlon(RC) Industrial/Caimercial(IC)
Developed Mater Resounes(YR)
To the best of my knowledge, all the information presented on this dpPllcatlon form and
the attached Exhibits A-P are true and correct (must be s ed by applyi}c~anytfyo/perator).
Date: 7L~C By: , ,~12~jdr_3 L~J/~/~i0a~~