PERMFILE121522

• Permit No: M1981207
• IBM Index Class Name: Permit File
• Doc Date: 2/26/1991
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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10. Correspondance Inforriation
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: William M. Roberts
Company Name: Western S1onP Aggregates
Street: Post Office Box 910
City: Carbndale
State: Colorado Zip Code: 51623
Area Code: 303 Telephone: AB3_22Ah
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:
Zip Code:
Telephone:
11. Primary future 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) _
Solid Waste Disposal(WD)
12. Primary present Cropland(CR) Pastureland(PL) General Aariculture(GA)
land use ~ Ranaeland(RL) - Forestry(FR) - Wildlife Habitat(WL)
-
(check one): Residential(RS) Recreation(RC) Industrial/Commercial(IC)
Developed Water Resources(WR1 _
To the best of my knowledge, all the information presented on this application form and the
attached Exhibits A-P are true and correct (must be sinned by appliA.canty/~op/~e-ra-~tor-)~-.
Date: ~~ / By: 'A ~LQO~.~_-J ~ Ilsv(.>~~
President