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-2- <br />10. Correspondance Information <br />APPLICANT/OPERATOR (name, adtlress, and phone of name to be used on permit) <br />Indiv;dual'S Name: Stephen J. Schnurr. President <br />Company Name: Rockv Mountain Asphalt. Inc. <br />Street: 1910 Rand Ave. <br />City: Colorado Springs <br />State: Colorado Zip Code: 80906 <br />Area Code: 719 Telephone: 473-3100 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: Rob Manzone <br />Company Name: Rocky Mountain Asphalt, Inc. <br />Street: 1910 Rand Ave. <br />City: Colorado Springs <br />State: Colorado Zip Code: 80906 <br />Area Code: 719 Telephone: 473-3100 <br />INSPECTION CONTACT (if different from applicant/operator above) <br />Individual's Name: <br />Company Name: <br />Street: <br />c; ty <br />State: Zip Code: <br />Area Code: Telephone: <br />11. Primary future ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA) <br />land use ® Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL) <br />(check one): ^ Residential(RS)^ Recreation(RC) ^ Industrial /Commercial(IC) <br />^ Developed Water Resources(WR) ^ Solid Waste Disposal(WD) <br />12. Primary present ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA) <br />land use ® Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL) <br />(check one): ^ Residential(RS) D Recreation(RC) ® Industrial/Commercial(IC) <br />^ Developed Water Resources(WR) <br />To the best of my knowledge, all the information presented on this application form and <br />the attached Exhibits A-G are true and correct (must be signed by applicant/operator). <br />Date: ~~,~ ~ K~ By: ~ ~ ~.~i-~~v1/1/ <br />n -~ <br />rt e <br />