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 nape to be used on permit)
Individual's Name: Ed ear Pratt ( Commissioner )
Company Name: Kit Carson county
Street: PO sox 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)
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Aree 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/Cammercial(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(WL)
(check one): - Residential(RS) - Recreation(RC) Industrial/Cammercial(IC)
_ Developed Water lfesources(WR)