PERMFILE131692

• Permit No: M1991069
• IBM Index Class Name: Permit File
• Doc Date: 6/19/1991
• Doc Name: LIMITED IMPACT OPERATION 110 2 APPLICATION FORM
• 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: Edear Pratt ( Commissioner )
Company Name' Kit Carson County
Street: PO Box 249
City: Burlington
State: Colorado Zip Code: 80807
Area Code: 719 Telephone: [phone]
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)
11. Prinwry future Cropland(CR) ~ Pastureland(PL) _ General Agriculture(GA)
land use - Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL)
(check one): - Residential(RS) Recreation(RC) Industrial/Coimnercial(IC)
_ Developed Water l~sources(WR) _ Solid Waste Disposal(WD)
12. Primary present Cropland(CR) x Pastureland(PL) General Agriculture(GA)
land use -_ Rangeland(RL) _ Forestry(FR) -_ Wildlife Habitat(WL1
(check one): Residential(RS) Recreation(RC) _ Industrial/Commercial(IC)
_ Developed Water 1Zesources(WR)
Individual's Name:
Company Name:
Street:
City:
State: Zip Code: _
Area Code: Telephone: