Laserfiche WebLink
,.~. ~ <br />~~ <br />~~~ ~ .. 5 ~ <br />-2- <br />5. Correspondance Information <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State:. Zip Code: <br />Area Code: a ep one: <br />PERt4ITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: ip o e <br />Area Code: a ep one: <br />INSPECTION CONTACT (if different from applicant operator above) <br />Individual's Name: <br />Company tJame: <br />Street: <br />City: <br />State: ip o e <br />Area Code: a ep one: <br />6. Location Information: The center of the operation lies in - <br />County: <br />USGS QuadranT <br />Principal Meridian c ec one): 6th (Colorado), 10th (New Mexico), <br />Ute <br />TownsTiip (write number and check direction): North South <br />Range (write number and check direction): - - mast _ I7est <br />Quarter Section (check one): NE, NW, ~E, ~W <br />Quarter-Quarter Section (check one): NE,- NW, SE, SW <br />Longitude (write number): _ _ _ DegreesT102-TTO) _ Minutes (0-60) <br />_ Seconds (00.0-60.OT <br />Latitude (write number): _ _-_-Degrees (37-41) Minutes (0-60) <br />Seconds (00.0-6S.OT <br />General Description (miles and~irection from nearest town and approximate <br />elevation): <br />