REV98235

• Permit No: M1990144
• IBM Index Class Name: Revision
• Doc Date: 3/27/1992
• Doc Name: M-90-144 & M-89-096
• From: SOUTHWAY CONSTRUCTION CO INC
• To: MLRD
• Type & Sequence: AM1
• Media Type: D
• Archive: No

-2-
10. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: John z. ungefug
Company Name: Southwav Construction Co., Inc.
Street: 117 White Pin> Pr1VP
City: Alamosa
State: Colorado Zip Code: 81101
Area Code: 719 Telephone: [phone] ,
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
.State: Zip Code:
,4rea Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
:itreet:
laity
:>tate: Zip Code:
llrea Code: Telephone:
11. Primary future ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
land use p Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL)
(checM: one): ^ Residential(RS)^ Recreation(RC) ^ Industrial/Commeroial(IC)
^ Developed Water Resouroes(WR) ^ Solid Waste Disposal(WD)
12. Primary present ^ Cropland(CR) p 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 Resouroes(WR)
To the best of ~ knowledge. all the information presented on this application form and
the attached Exhibits A-P are true and correct (mt{~t be signed by applicant/operator).
Ddte• March 16, 1992 B
y:
er