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-2- <br />10. Correspondence Information <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: <br />Company Name: United Cnmo ariies of Mesa County, Inc. <br />Street: P. 0. Bnx 3609. 618 Oike Road <br />City: Grand Junction <br />State: Colorado Zip Code: 81502 <br />Area Code: 303 Telephone: 243-4900 <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name: Paul McGehee <br />Company Name: United Companies of Mesa County,. Inc. <br />Street: P. 0. Box 3609. 618 Dike Road <br />City: (rand Junction <br />State: Colorado Zip Code: 81502 <br />Area Code: 303 Telephone: 243-4900 <br />INSPECTION CONTACT (if different from applicant/operator above) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />Telephone: <br />Zip Code: <br />11. Primary future ^ Cropland(CR) Q Pastureland(PL) ^ General Agriculture(GA) <br />land use ^ Rangeland(RL) ^ Forestry(FR) ^ Wildlife Habitat(WL) <br />(check One): ^ Residential(RS) 6J Recreation (RC) ^ Industrial/Commercial(IC) <br />p 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) ® Recreation (RC} ^ Industrial /Commercial(IC) <br />^ Developed Water Resources(WR) <br />' To the best of my knowledge, all the information nted on this application form and <br />the attach~ed1Exhibits A-G are true and correct (m st b s'gned by plicant/operator). <br />I Date: ~-t~~q~y ey• <br />Paul McGehee <br />