PERMFILE117255

• Permit No: M1989030
• IBM Index Class Name: Permit File
• Doc Date: 3/13/1989
• Doc Name: LIMITED IMPACT OPERATION 110 2 APPLICATION FORM
• Media Type: D
• Archive: No

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10. ;. Correspondance~~'sIInfarination +~I,~ ;
APPLICANT/OPERATOR '..(name, address, and phone, of name to be used on permit)
Individual.:s Name: Mike xorner~~~"
Company Name: San M~.guel County Road Department
' Street: °`"'`''" ~- 1510 Grand'Ave PO Box 426
C'1ty: Norwood
State: Colorado ~ Zip Code: ~ 81423
Arrea Code:, 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Same
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name: Same
Company Name:
Street:
c; ty:
State: Zip Code:
Area Code: Telephone:
11. Primary future Cropland(CR) _ Pastureland(PL) General Agriculture(GA)
land use x Rangeland(RL) _ Forestry(FR) x Wildlife Habitat(WL)
(check one): _ Residential(RS) Recreation(RC) _ Industrial /Commercial(IC)
Developed Water t>Zesources(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)