2010-11-22_REVISION - M1990134

• Permit No: M1990134
• IBM Index Class Name: REVISION
• Doc Date: 11/22/2010
• Doc Name: Notices
• From: DRMS
• To: Various
• Type & Sequence: AR1
• Email Name: DMC
• Media Type: D
• Archive: No

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10. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: James H & Kathleen H Ross
Company Name: n/a
Street: 5529 ft #394
City: a'Q
State: Colo. Zip Code: 81625
Area Code: 303 Telephone: [phone] off 824-5955
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: James Ross (all tbe gme)
Company Name:
Street:
City:
State:
Area Code:
Zip Code:
Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name: James Ross (all the sM!)
Company Name:
Street:
Ci ty:
State:
Area Code:
Zip Code:
Telephone:
11. Primary future Cropland(CR) Pastureland(PL) General Agriculture(GA)
land use - Rangeland(RL) `-` Forestry(FR) .X Wildlife Habitat(WL)
(check one): Residential(RS) Recreation(RC) Industrial/Commercial(IC)
Developed Water We-sources(WR) Solid Waste Disposal(WD)
12. Primary present C ropland(CR) Pastureland(PL) General Agriculture(GA)
land use x Rangeland(RL) - Forestry(FR) Wildlife Habitat(WL)
(check one): Residential(RS) `^ Recreation(RC) Industrial/Commercial(IC)
i Developed Water )?e&xw--r,"(WR)
stagnant =e
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