PERMFILE113784

• Permit No: M1982044
• IBM Index Class Name: Permit File
• Doc Date: 5/7/1982
• Section_Exhibit Name: MINING AND RECLAMATION PERMIT - MINERALS OTHER THAN COAL
• 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: C /e y TO NN 5 TO n/
Company Name:
Street: /3/L ~o(~ An/
Ci tY ~ CAn~ON ~ ~T v ~~ ~o -
State: ~o/o,eaao ~ Zip Code: pia /~,
Area Code: ,303 Telephone: ~ 7,5"- i9~ to
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
State:
Area Code:
Telephone:
Zip Code:
11. Primary future ^ Cropland(CR) ^ Pastureland(PL) !~ general Agriculture(GA)
land use ^ Rangeland(RL) ^ Forestry(FR) ^ Wildlife Nabitat(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) 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)
To the best of nV' knowledge, all the information presented on this application form and
the attached Exhibits A-G are true and correct (mus~t~/be/~ signed y applicant/operator).
Date: ~ i7/. iy8~7 DY: l/X~.~/