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REV94098
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REV94098
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Entry Properties
Last modified
8/25/2016 3:19:41 AM
Creation date
11/21/2007 11:38:01 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1976051
IBM Index Class Name
Revision
Doc Date
10/1/1986
Doc Name
REGULAR 112 PERMIT APPLICATION FORM
Type & Sequence
SO1
Media Type
D
Archive
No
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i~ <br />' • • <br />• <br />-2- <br />10. Correspondanee Information . <br />APPLICANT/OPERATOR (name, address. and phone of name to be used on permit) <br />Individual's Name: Cecil & Kenneth Better <br />Company Name: BettBer Sand and Gravel <br />Street: P.o. Box 771073 <br />City: Steamboat Springs <br />State: Co Zip Code: 80477 <br />Area Code: 303 Telephone: 879-0156 <br />PERMITTING CONTACT (1f different from applicant/operator above) <br />Individual's Name: Daniel R. Ellison <br />Company Name: <br />Street: P.O. Box 773448 <br />City: steamboat Springs <br />State: Colorado Zip Code: 80477 <br />• Area Code: ~o~ Telephone: 879-2828 <br />INSPECTION CONTACT (1f different from applicant/operator above) <br />Individual's Name: , <br />Company Name: <br />Street: <br />City: <br />State: Zip Code• <br />Area Code: Telephone: <br />11. Primary future D Cropland(CR) D Pastureland(PL) D Genera] Agriculture(GA) <br />land use $ Rangeland(RL) D Forestry(FR) ^ Wildlife Habitat(NL) <br />(check one): ^ Residential(RS)^ Recreation(RC) D Industrial/Commereial(IC) <br />D Developed Water Resources(WR) D Solid Waste Dlsposal(WD) <br />12. Primary present ~ Cropland(CR) ~ ^ Pastureland(PL) ^ General Agriculture(GA) <br />land use D Rangeland(RL) ^ Forestry(FR) D Wildlife Habitat(WL) <br />(check one): D Residentlal(RS) ^ Recreation(RC) p Industrial /Commercial(IC) <br />D Developed Mater Resources(WR) <br />To the best of my knowledge. all the information presented on this application form and <br />the attached Exhibits A-P are true and correct (must,, be s/igned Dy applicant/operator). <br />Date• 9/29%86 BY: Cpl <br />• 014NER <br />e <br />,~ <br />
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