REV16186

• Permit No: M1979089
• IBM Index Class Name: Revision
• Doc Date: 12/14/1988
• From: ARMSTRONG CONSULTANTS INC
• To: MLRD
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-2-

10. Correspondence Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Ron Tiopin¢
Company Name: Grand Junction Pipe & Supply Co.
Street: 7868 Hiehwav I-70S
City: Grand Junction
State: coloraao Zip Code: 81501
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicantloperator above)
Individual's Name: Applicant and Tom Lowe
Company Name; Armstrong Consultants, Inc.
Street: 861 Rood Avenue
City: Grand Junction
State: Colorado Zip Code: 81501
Area Code: 303 Telephone: z4z-0101

J
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
11. Primary future ^ 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) ^ Solid Waste Disposal(WD)
12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ^ Gene rat Agriculture(GA)
Land use ^ Rangeland(RL) ^ Forestry(FR) ® Wildlife Ha6itat(WL)
{check one): p ResidentialiRS) ^ Recreation (RC) ^ Industrial/Commercial(IC1
^ Developed Water ResourcesiWR)
To the best of my knowledge, all the information presented on this application form and
the attached Exhibits A-G are true and correct (must be signed by applicant/operator).
Date: By: k
~~
e