PERMFILE131225

• Permit No: M1988044
• IBM Index Class Name: Permit File
• Doc Date: 4/20/1988
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

i ~
-2-
10. Correspandance Information
APPLICANT/OPERATOR (name. address, and phone of name to be used on permit)
Individual's Name:
Company Name: Coal Creek Resources
Street: c/o Tuttle Applegate Rindahl, Inc. 11990 Grant St.#410
Ciiy: Denver
State: Colorado Zip Code: 80233
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Garv Tuttle
Company Name: Tuttle A~leaatP Rindahl, Inc.
Street: 11990 Grant Street, Suite #410
City: Denver
State: Colorado Zip Code: 80233
Area Code: ,n-, Telephone: ds~_~~„
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name:
Company Name:
Street:
Ci ty
State: Zip Code:
Area Code: Telephone:
11. Primary future ^ Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
land use ~ Rangeland(RL) O Forestry{FR) ^ Wildlife Habitat(WL)
(check ane): p Residential(RS)^ Recreatlon(RC) O Industrial/Commercial(IC)
^ Developed Water Resources(WR) ^ Solid Waste Disposal(WD)
12, Primary present p Cropland(CR) ^ Pastureland(PL) ^ General Agriculture(GA)
land use ®xRangelandiRL) ^ Forestry(FR) ^ Wildlife Nabitat(WL)
(check one): ^ Residential(RS) ^ Recreation(RC) ^ Industrial/Commertial(IC)
^ Developed Water Resources(WR)
To the best of my knowledge, e11 the information presented on this application form and
the attached Exhibits A-P are true and correct (must be signed by applicant/operator),
Date: 04 o~le0 BY: ~
~~~-+~
`
~1.~sai~w~~
e