REP18890

• Permit No: M1989120
• IBM Index Class Name: Report
• Doc Name: C&M COMPANIES PLATTE VALLEY PIT APPLICATION FOR A REGULAR 112 MLR PERMIT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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10. Correspondence Information
APPLICANT/OPERATOR (name, address, and phone of name to De used on permit)
Individual's Name: Bob Allen _
Company Name: C a M Companies
Street: 7916 Niwot Road; P, o. Box 490
Ci ty : N iwo t
State: Colorado Zip Code: 80544
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (1f different from appiicant/operator above)
Individual's Name: Gary J. Tuttle
Company Name: Tuttle APPleQate, Inc.
Street: 11990 Grant Street. Suite 410
City: Denver
State: Colorado Zip Code: 80233
Area Code: 303 Telephone: [phone]
INSPECTION CONTACT (1f different from applicant/operator above)
Individual's Name:
Company Name:
Street:
City:
State: Zip Code:
Area Lode: Telephone:

11. Primary future O Croplend(CR) O Pastureland(PL) O General Agriculture(GA)
land use O Rangeland(RL) O Forestry(FR) O Wildlife Nabltat(NL)
(check one): O Residential(RS)O Recreatlon(RC) O Industrial/Commercial(IC)
~ Developed Mater Resources(WR) O So11d Neste Disposal(ND)
12. Primary present O Cropland(CR) Y3 Pastureland(PL) O General Agriculture(GA)
land use O Rangeland(RL) O Forestry(FR) O Wildlife Flabitst(NL)
(check ,one): O Residential(RS) O Recreation(RC) O Industrial/Camnerctal(IC)
O Developed Water Resources(WR)
To the best of qy knowledge, all the Information presented on this application form and
the attached Exhibits A-P are true and correct (su~-be signed by applicant/operator).
Date: ~~vy~3E.z 7- ~ C18~ BY: ~~[a[ i o . ~ ~. ~.L~~4 , . n
~Y~ ~ ty`~i ~) o l ~~`c o 1'FQ i _